A rare case of spontaneous intraperitoneal rupture of urinary bladder after normal delivery

Autor: Vema Padmavathi, B Suryaprakash, B Mahender Reddy, Podila Jayasree Chowdhary, Bonam Sri Harika
Rok vydání: 2019
Předmět:
Zdroj: Indian Journal of Obstetrics and Gynecology Research. 6:551-553
ISSN: 2394-2754
2394-2746
DOI: 10.18231/j.ijogr.2019.119
Popis: We report an uncommon case of postpartum women, who presented to us 20 days after a normal delivery with anuria, abdominal pain & distension, huge ascites and renal failure. Which on evaluation and emergency laparotomy was found to be due an intraperitoneal tear of bladder probably that has happened during a vaginal delivery with a full bladder. Purulent urine in the peritoneal cavity was suctioned, a thorough lavage was done and the tear in the dome of the bladder was repaired with vicryl 3.0 in 2 layer followed which she was kept on continous drainage of bladder for 3 wks. This is an absolutely preventable condition, provided proper care was taken in second stage by emptying the bladder. High index of suspicion and prompt diagnosis could have reduced the suffering, psychological trauma, financial burden and most importantly the morbidity in this case. Keywords: Bladder rupture, Urinary ascites, Vaginal delivery, Bladder repair, Puerperium.
Databáze: OpenAIRE