title: Simultaneous Uterine and Bladder Rupture Following Successful Vaginal Birth After Cesarean Delivery: Laparoscopic Repair of Defect.
abstract: When gross hematuria occurs after a successful vaginal birth after cesarean section, bladder injury should be suspected. We report a postpartum patient who experienced progressively worsening abdominal pain a few hours after delivery and was found to have a simultaneous bladder and uterine rupture, which were successfully repaired via a laparoscopic approach. This case highlights a laparoscopic approach to repairing both defects in the immediate postpartum period.
authors: Department of Obstetrics and Gynecology, School of Medicine, University of Nevada Las Vegas, Las Vegas, Nevada. Electronic address: llua@medicine.nevada.edu.
authors: Lannah L
authors: LL
authors: Lua
authors: Department of Obstetrics and Gynecology, School of Medicine, University of Nevada Las Vegas, Las Vegas, Nevada.
authors: Tiare
authors: T
authors: Evans
authors: Department of Obstetrics and Gynecology, School of Medicine, University of Nevada Las Vegas, Las Vegas, Nevada.
authors: Nadia
authors: N
authors: Gomez
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects* / Q000379:methods; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000473:pathology; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D014597:Uterine Rupture / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects / Q000379:methods; D014945:Wound Healing
keywords: Bladder rupture; Laparoscopic repair; Uterine rupture; Vaginal birth after cesarean section