Bladder rupture caused by postpartum urinary retention.
BACKGROUND
Postpartum bladder rupture is an uncommon surgical emergency and a diagnostic challenge.


METHODS
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.


CONCLUSIONS
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.
Dueñas-García
Omar Felipe
OF
Department of Obstetrics and Urogynecology, National Institute of Perinatology, Mexico City, Mexico. dugof1@hotmail.com
Rico
Hugo
H
Gorbea-Sanchez
Viridiana
V
Herrerias-Canedo
Tomas
T
D036861:Delivery, Obstetric / Q000009:adverse effects; D005260:Female; D006801:Humans; D049590:Postpartum Period; D012422:Rupture, Spontaneous / Q000209:etiology; D001745:Urinary Bladder Diseases / Q000209:etiology*; D016055:Urinary Retention / Q000150:complications*