title: Traumatic bladder rupture following vaginal hysterectomy.
abstract: Although complications associated with vaginal hysterectomy are rare, the most common complications involve bladder injury. These injuries are sustained most commonly during mobilization of the posterior bladder wall off of the lower uterine segment, particularly in the setting of adhesions from prior cesarean sections. Bladder injuries may present with urinary retention, gross hematuria, serum electrolyte, and creatinine abnormalities, a bowel ileus or abdominal pain. This report describes a patient who underwent a total vaginal hysterectomy complicated by an unrecognized bladder injury, rupture, and subsequent abdominopelvic urinoma, requiring surgical drainage and repair.
authors.affiliation: From the Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI.
authors.forename: Claire
authors.initials: C
authors.lastname: Griffiths
authors.forename: Christina
authors.initials: C
authors.lastname: Lewicky-Gaupp
authors.forename: Dee E
authors.initials: DE
authors.lastname: Fenner