BACKGROUND: Postpartum bladder rupture is an uncommon surgical emergency and a diagnostic challenge. CASE: A primigravida delivered a healthy newborn without complications at 39.4 weeks of gestation. The patient was admitted 80 hours postpartum with abdominal pain, oliguria, hematuria, and pain that worsened during the previous 4 hours. An inserted Foley catheter drained only a small amount of urine, and serum creatinine was elevated (3.5 mg/dL). A laparotomy was performed and revealed a 10-cm hole in the urinary bladder. The bladder was repaired and the patient was discharged 15 days after surgery. The follow-up cystoscopy revealed adequate healing of the bladder. CONCLUSION: Urinary retention can lead to serious complications, including bladder rupture. Postpartum bladder rupture due to urinary retention should be ruled out if there is a history of abdominal pain, oliguria, and elevated of serum creatinine.
BACKGROUND: Postpartum bladder rupture is an uncommon surgical emergency and a diagnostic challenge. CASE: A primigravida delivered a healthy newborn without complications at 39.4 weeks of gestation. The patient was admitted 80 hours postpartum with abdominal pain, oliguria, hematuria, and pain that worsened during the previous 4 hours. An inserted Foley catheter drained only a small amount of urine, and serum creatinine was elevated (3.5 mg/dL). A laparotomy was performed and revealed a 10-cm hole in the urinary bladder. The bladder was repaired and the patient was discharged 15 days after surgery. The follow-up cystoscopy revealed adequate healing of the bladder. CONCLUSION: Urinary retention can lead to serious complications, including bladder rupture. Postpartum bladder rupture due to urinary retention should be ruled out if there is a history of abdominal pain, oliguria, and elevated of serum creatinine.
Authors: F E M Mulder; R A Hakvoort; M A Schoffelmeer; J Limpens; J A M Van der Post; J P W R Roovers Journal: Int Urogynecol J Date: 2014-05-20 Impact factor: 2.894
Authors: Stefan Mohr; Luigi Raio; Ursula Gobrecht-Keller; Sara Imboden; Michael D Mueller; Annette Kuhn Journal: Int Urogynecol J Date: 2022-02-07 Impact factor: 1.932