Spontaneous bladder and uterine rupture with attempted vaginal delivery after cesarean section.
We report spontaneous bladder and uterine rupture in a patient undergoing oxytocin augmented labor while under epidural anesthesia after a previous cesarean section. The presenting signs were gross hematuria at placement of an indwelling catheter and fetal distress. Cesarean section produced a healthy newborn. The patient recovered satisfactorily after subtotal hysterectomy, bladder repair and transfusion.
Lee
J Y
JY
Department of Urology, Hennepin County Medical Center, Minneapolis, Minnesota.
Cass
A S
AS
D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D012422:Rupture, Spontaneous; D001745:Urinary Bladder Diseases / Q000150:complications*; D014597:Uterine Rupture / Q000150:complications*; D016064:Vaginal Birth after Cesarean