PMC10199698_01
(a) Left hydronephrosis (white arrow); (b) Right hydronephrosis (white arrow); (c) Bladder blood clot tamponade (white arrow); (d) Bladder blood clot tamponade and median lobe of prostate was not protruded to the bladder (white arrow).
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Finally, abdominal computer tomography (CT) revealed that a high-density mass in the bladder, with blood clots, urinary retention, and hydronephrosis (Figure 1).
(a) Dilated blood vessels in the prostate and congested prostate glands; (b) Obvious bleeding in the prostate; (c) No bleeding point in the bladder mucosa; (d) No hematuresis spray at the ureteral orifice.
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An endoscopic examination was carried out, which revealed that the patient had dilated blood vessels in the prostate, congested prostate glands (Figure 2a), and obvious bleeding in the prostate (Figure 2b), with no bleeding point in the bladder mucosa (Figure 2c), and ureteric jets were for hematuria-free (Figure 2d).