A Late Presentation of Spontaneous Bladder Rupture During Labor.
Spontaneous bladder rupture is usually due to bladder diseases. Bladder rupture during labor or postpartum is extremely rare. Acute abdomen is the usual presentation of spontaneous bladder rupture. Patients may complain of suprapubic pain, anuria and hematuria. Some patients with intraperitoneal bladder rupture may have no abdominal pain and can pass urine without any symptoms so the diagnosis of intraperitoneal rupture may be difficult in these situations. We report a nulliparous woman with abdominal pain and distension about 20 days after normal vaginal delivery. There was intraperitoneal rupture of bladder in dome of bladder which was sealed by jejunum.
Resident of General Surgery, Iran University of Medical Sciences and Health Services, Hazrat-e-Rasoul Hospital, Tehran, Iran.
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Farahzadi
Colorectal surgeon, Iran University of Medical Sciences and Health Services, Hazrat-e-Rasoul Hospital, Tehran, Iran.
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Mohammadipour
Bladder rupture; Postpartum; Urinary ascites; Vaginal delivery