Urology Case Reports (Nov 2020)

Spontaneous bladder rupture: Laparoscopic management of rare complications after nontraumatic vaginal delivery

  • Patricio Modina,
  • Leandro Vidal,
  • Carlos I. David,
  • Conrado Leal,
  • Ricardo Escowich,
  • Miguel A. Bergero

Journal volume & issue
Vol. 33
p. 101377

Abstract

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Introduction: Spontaneous bladder rupture is a rare condition, especially after a nontraumatic vaginal delivery. Case presentation: A 32-year-old patient who had had a nontraumatic vaginal delivery presented to the emergency room with abdominal pain and anuria. Computed tomography showed free fluid in the peritoneal cavity. An exploratory laparoscopy revealed a perforation on the bladder dome that was laparoscopically sutured. Conclusion: In the presence of an acute abdominal pain with free fluid in the peritoneal cavity after a nontraumatic vaginal delivery, a differential diagnosis should be a spontaneous rupture of the bladder.

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