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Bladder rupture associated with uterine rupture. A report of two cases occurring during vaginal birth after cesarean
E V Forsnes1, J E Browning, R B Gherman
1Department of Obstetrics and Gynecology, Naval Hospital Camp Lejeune, Jacksonville, North Carolina, USA.
The Journal of Reproductive Medicine
|April 11, 2000
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.