case_images: PMC10543732_01
case_images: NCECT (left) and CECT (right) showing pelvic peritoneal hematoma (note the density of the hematoma: in the range of 50s and above here indicated is 54.85 HU).
case_images: IMCRJ-16-611-g0001.jpg
case_images: PMC10543732_01_IMCRJ-16-611-g0001.jpg
case_images: f0001
case_images: A computed tomography (CT) scan was performed, which showed hemoperitoneum (Figure 1), thickening of the bilateral renal pelvis and proximal ureters (Figure 2), giving the appearance of enhancing urothelial masses on post-contrast images (Figures 3 and 4).
case_images: Axial NCECT at the level of the renal pelvis (left) and proximal ureters (right), showing symmetrical smooth, hyperdense thickening of the walls of the bilateral renal pelvis (arrows) and ureters (arrow head) with mild bilateral hydronephrosis.
case_images: IMCRJ-16-611-g0002.jpg
case_images: PMC10543732_01_IMCRJ-16-611-g0002.jpg
case_images: f0002
case_images: A computed tomography (CT) scan was performed, which showed hemoperitoneum (Figure 1), thickening of the bilateral renal pelvis and proximal ureters (Figure 2), giving the appearance of enhancing urothelial masses on post-contrast images (Figures 3 and 4).
case_images: Axial CECT at respective levels (of Figure 1) (left and right); note how a hematoma could be easily missed as an "enhancing" mass lesion (arrows and arrow head) had the CECT only been seen.
case_images: IMCRJ-16-611-g0003.jpg
case_images: PMC10543732_01_IMCRJ-16-611-g0003.jpg
case_images: f0003
case_images: A computed tomography (CT) scan was performed, which showed hemoperitoneum (Figure 1), thickening of the bilateral renal pelvis and proximal ureters (Figure 2), giving the appearance of enhancing urothelial masses on post-contrast images (Figures 3 and 4).
case_images: CECT; Sagittal (right and left) and coronal (middle) recon images showing the bilateral renal sinus, PUJ and proximal ureteric wall thickening (long arrows, angled short arrows).
case_images: IMCRJ-16-611-g0004.jpg
case_images: PMC10543732_01_IMCRJ-16-611-g0004.jpg
case_images: f0004
case_images: A computed tomography (CT) scan was performed, which showed hemoperitoneum (Figure 1), thickening of the bilateral renal pelvis and proximal ureters (Figure 2), giving the appearance of enhancing urothelial masses on post-contrast images (Figures 3 and 4).
case_images: NCECT (left) and CECT (right) at the mid-abdomen region showing a segment of jejunal loop wall thickening with pre-contrast hyperdensity and post-contrast non-enhancement.
case_images: IMCRJ-16-611-g0005.jpg
case_images: PMC10543732_01_IMCRJ-16-611-g0005.jpg
case_images: f0005
case_images: It was noted that little attention had been given to the non-contrast enhanced study, which revealed areas of spontaneous hyperdensity in the lesions, consistent with blood, along with hyperdense thickening (hemorrhage) of the jejunal wall (Figure 5).     