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Oct 2016, Vol 4, Issue 4
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Case Report
A Case of Bladder Flap Hematoma Presenting With Hematuria
Gülşah İlhan, Fatma Ferda Verit Atmaca, Ali Galip Zebitay, Hüseyin Gültekin, Ahmet Hasan Ergin, Karolin Ohanoğlu
Department of Obstetrics and Gynecology, Suleymaniye Research and Training Hospital, Istanbul, Turkey

IJWHR 2016; 4: 205-207
DOI: 10.15296/ijwhr.2016.45
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Keywords : Bladder flap, Cesarean section, Complication, Hematuria
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Objectives: Patients with bladder flap hematoma usually present with a mass lesion, signs of hypovolemia and/or infection. We herein introduce a patient that presented with an extraordinary sign of bladder flap hematoma.

Case Presentation: A woman with term pregnancy presented to our hospital in labor. She underwent cesarean delivery due to persistent late decelerations. Cesarean delivery was performed with the traditional cesarean section method. On the first postoperative hour, the patient developed postpartum hemorrhage due to uterine atony. She had severe anemia and tachycardia. Transvaginal ultrasonography revealed the presence of 86 × 77 mm solid mass interposed between lower uterine segment and bladder. Slow-onset hematuria was noticed in the previously clear urinary discharge. The patient was treated conservatively.

Conclusion: Hematuria may be a sign of bladder flap hematoma. Though no exact and standardized protocols exist for the management, conservative approach is one of the treatment modalities and may be offered for eligible patients.

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Articles by İlhan G
Articles by Galip Zebitay A
Articles by Gültekin H
Articles by Hasan Ergin A
Articles by Ohanoğlu K


Articles by Gülşah İlhan
Articles by Ali Galip Zebitay
Articles by Hüseyin Gültekin
Articles by Ahmet Hasan Ergin
Articles by Karolin Ohanoğlu

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