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Bladder rupture caused by postpartum urinary retention
Omar Felipe Dueñas-García1, Hugo Rico, Viridiana Gorbea-Sanchez
1Department of Obstetrics and Urogynecology, National Institute of Perinatology, Mexico City, Mexico. dugof1@hotmail.com
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.
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