Spontaneous rupture of bladder in puerperium.
Spontaneous rupture of bladder and extravasation of urine in the peritoneum without evidence of trauma is rare. This condition is an emergency. It presents in a unique way therefore, the diagnosis and treatment is usually delayed. This patient presented with an acute abdominal pain and oliguria. She had delivered normally eight days before re-admission. Investigations were done and an exploratory laparotomy was performed. There was a tear in the fundus of the bladder and the peritoneal cavity contained urine. Peritoneal lavage was done and the bladder was repaired in layers. She was put on continuous bladder drainage for three weeks followed by bladder training. The bladder resumed its normal function. Early diagnosis and appropriate management decreases the morbidity and mortality associated with this condition.
Department of Obstetrics and Gynaecology, Makerere University, Faculty of Medicine and Mulago Hospital, Kampala, Uganda.
Julius
J
Wandabwa
Tom
T
Otim
Paul
P
Kiondo
D000328:Adult; D005260:Female; D006801:Humans; D011644:Puerperal Disorders; D012422:Rupture, Spontaneous; D001745:Urinary Bladder Diseases