Spontaneous bladder and uterine rupture with attempted vaginal delivery after cesarean section

We report spontaneous bladder and uterine rupture in a patient undergoing oxytocin augmented labor while under epidural anesthesia after a previous cesarean section. The presenting signs were gross hematuria at placement of an indwelling catheter and fetal distress. Cesarean section produced a healthy newborn. The patient recovered satisfactorily after subtotal hysterectomy, bladder repair and transfusion.