Bladder rupture caused by postpartum urinary retention
| Autor: | Viridiana Gorbea-Sanchez, Hugo Rico, Tomas Herrerias-Canedo, Omar Felipe Dueñas-Garcia |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Foley catheter urologic and male genital diseases Oliguria medicine Humans Urinary bladder medicine.diagnostic_test Rupture Spontaneous Urinary retention business.industry Postpartum Period Urinary Bladder Diseases Obstetrics and Gynecology Cystoscopy Urinary Retention medicine.disease Delivery Obstetric female genital diseases and pregnancy complications Surgery medicine.anatomical_structure Female medicine.symptom Urinary bladder disease business Postpartum period |
| Zdroj: | Obstetrics and gynecology. 112(2 Pt 2) |
| ISSN: | 0029-7844 |
| Popis: | BACKGROUND: Postpartum bladder rupture is an uncommon surgical emergency and a diagnostic challenge. CASE: A primigravida delivered a healthy newborn without complications at 39.4 weeks of gestation. The patient was admitted 80 hours postpartum with abdominal pain, oliguria, hematuria, and pain that worsened during the previous 4 hours. An inserted Foley catheter drained only a small amount of urine, and serum creatinine was elevated (3.5 mg/dL). A laparotomy was performed and revealed a 10-cm hole in the urinary bladder. The bladder was repaired and the patient was discharged 15 days after surgery. The follow-up cystoscopy revealed adequate healing of the bladder. CONCLUSION: Urinary retention can lead to serious complications, including bladder rupture. Postpartum bladder rupture due to urinary retention should be ruled out if there is a history of abdominal pain, oliguria, and elevated of serum creatinine. |
| Databáze: | OpenAIRE |
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