title: Missed Iatrogenic Bladder Rupture Following Normal Vaginal Delivery.
abstract: Bladder rupture following caesarian section is well documented complications. Intraperitoneal bladder rupture following normal vaginal delivery is very rare. Hereby, we present a case report of intraperitoneal bladder rupture presented late following normal vaginal delivery. We report a case of spontaneous intraperitoneal urinary bladder rupture following uneventful outlet forceps delivery in a 22-year-old primi gravid woman with gestational diabetes mellitus and fetal macrosomia who presented with large urinary ascites, anuria and renal failure. Emergent exploratory laparotomy with repair of the intraperitoneal bladder rupture helped to prevent its potential complications. Postpartum patients who undergo episiotomy or perineal repair may land up in unnoticed urinary retention which may rarely terminate in spontaneous urinary bladder rupture. Awareness of its manifestations amongst emergency physician would help to initiate appropriate timely management.
authors.affiliation: Resident, Department of Urology, Seth G S Medical College and KEM Hospital Mumbai, India .
authors.forename: Vidyasagar H
authors.initials: VH
authors.lastname: Baheti
authors.affiliation: Resident, Department of Urology, Seth G S Medical College and KEM Hospital Mumbai, India .
authors.forename: Vinayak G
authors.initials: VG
authors.lastname: Wagaskar
authors.affiliation: Professor and Head of Department, Department of Urology, Seth G S Medical College and KEM Hospital Mumbai, India .
authors.forename: Sujata K
authors.initials: SK
authors.lastname: Patwardhan
keywords: Emergency department; Puerperium; Renal failure; Spontaneous; Urinary bladder