Background:
Spontaneous bladder rupture (SBR) is defined as the presence of rupture without any antecedent trauma. It is usually due to underlying bladder pathology. Bladder rupture during labor or the postpartum period is extremely rare.
Case Presentation:
A 29-year-old gravida 2 Para 1 + 0 had an uneventful labor and a vacuum was used to assist the delivery. Seven days later, she was presented to the emergency department (ED) complaining of inability to urinate and abdominal pain. An immediate ultrasound scan (US) showed free fluid in the abdomen and pelvis. Due to her unstable condition, she was admitted to the ICU. The diagnosis of bladder rupture was made based on a CT cystogram showing contrast leaking from the posterior surface of the dome of the bladder. The patient was successfully managed conservatively by indwelling Foley’s catheter and peritoneal drainage.
Conclusion:
Post-partum females with an acute abdomen associated with anuria, high blood urea nitrogen (BUN), and elevated serum creatinine should be investigated and treated emergently as SBR. Conservative management might be a successful option under the right conditions for the treatment of intra-peritoneal bladder rupture.
Key words: Bladder rupture, vaginal delivery, intraperitoneal rupture, Saudi Arabia, case report.
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