World Rural Health Conference
Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 1181
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2015  |  Volume : 4  |  Issue : 4  |  Page : 601-603

Spontaneous puerperal extraperitoneal bladder wall rupture in young woman with diagnostic dilemma


1 Department of Urology, Institute of Medical Science, SUM Hospital, Ghatikia, Bhubaneswar, Odisha, India
2 Department of Obstretics and Gynecology, Institute of Medical Science, SUM Hospital, Ghatikia, Bhubaneswar, Odisha, India
3 Department of Radiology, Institute of Medical Science, SUM Hospital, Ghatikia, Bhubaneswar, Odisha, India
4 Department of Central Research Laboratory, Institute of Medical Science, SUM Hospital, Ghatikia, Bhubaneswar, Odisha, India

Correspondence Address:
Ranjan Kumar Sahoo
Department of Radiology, Institute of Medical Science, SUM Hospital, Ghatikia, Bhubaneswar - 751 003, Odisha
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4863.174329

Rights and Permissions

A young female presented with an acute abdominal pain and oliguria for 1 week following normal vaginal delivery. No history of hematuria was present. Patient was having lochia rubra. Sealed uterine rupture was suspected clinically. Initial ultrasound of the patient showed distended urinary bladder containing Foley catheter ballon with clamping of Foley catheter and particulate ascites. Abdominal paracentesis revealed hemorrhagic fluid. Contrast-enhanced computed tomography of abdomen revealed ascites, distended urinary bladder and no extraluminal contrast extravasation in delayed scan. As patient condition deteriorated, repeat ultrasound guided abdominal paracentesis was done which revealed transudative peritoneal collection with distended bladder. Cystoscopy revealed urinary bladder ruptures with exudate sealing the rupture site. Exploratory laparotomy was done and a diagnosis of extraperitoneal bladder rupture was confirmed. The rent was repaired in layers. She was put on continuous bladder drainage for 3 weeks followed by bladder training. It presented in a unique way as there was hemorrhagic peritoneal tap, no macroscopic hematuria and urinary bladder was distended in spite of urinary bladder wall rupture which delayed the diagnosis and treatment. Complete emptying of urinary bladder before second stage of labor and during postpartum period with perineal repair is mandatory to prevent urinary bladder rupture.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1349    
    Printed13    
    Emailed0    
    PDF Downloaded123    
    Comments [Add]    

Recommend this journal