E V Forsnes1, J E Browning, R B Gherman. 1. Department of Obstetrics and Gynecology, Naval Hospital Camp Lejeune, Jacksonville, North Carolina, USA.
Abstract
BACKGROUND: Uterine rupture occurs in < 1% of patients undergoing a trial of labor after cesarean section. Associated injury to adjacent organs within the maternal pelvis has likewise been very rarely reported. CASE: Two cases of posterior bladder wall rupture occurred in association with rupture of low transverse uterine incisions. CONCLUSION: Bladder rupture may be associated with uterine rupture during attempted vaginal birth after cesarean. The potential for bladder injury should be included in the patient's antepartum counseling.
BACKGROUND: Uterine rupture occurs in < 1% of patients undergoing a trial of labor after cesarean section. Associated injury to adjacent organs within the maternal pelvis has likewise been very rarely reported. CASE: Two cases of posterior bladder wall rupture occurred in association with rupture of low transverse uterine incisions. CONCLUSION: Bladder rupture may be associated with uterine rupture during attempted vaginal birth after cesarean. The potential for bladder injury should be included in the patient's antepartum counseling.
Authors: Alison G Cahill; Molly J Stout; David M Stamilio; Anthony O Odibo; Jeffrey F Peipert; George A Macones Journal: Obstet Gynecol Date: 2008-07 Impact factor: 7.661