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Concurrent uterine and bladder rupture during vaginal delivery is rare. This case highlights prompt diagnosis and surgical repair for a favorable outcome in a patient with a prior cesarean section.

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Area of Science:

  • Obstetrics and Gynecology
  • Urology

Background:

  • Spontaneous bladder rupture is a rare but severe complication of vaginal delivery.
  • Concurrent uterine and bladder rupture is exceptionally uncommon, especially in patients with a history of cesarean section.

Purpose of the Study:

  • To report a highly unusual case of concurrent uterine and bladder rupture following labor induction and vaginal delivery.
  • To emphasize the importance of recognizing and managing this critical obstetric emergency.

Main Methods:

  • Case report of a 32-year-old woman with a previous cesarean section.
  • Intraoperative diagnosis via laparotomy following suspicion raised by hematuria.
  • Surgical repair of both uterine and bladder ruptures.

Main Results:

  • Successful surgical repair of concurrent uterine and bladder rupture.
  • Complete recovery of the patient.
  • Demonstrates feasibility of vaginal delivery after cesarean section in select cases, albeit with significant risks.

Conclusions:

  • Concurrent uterine and bladder rupture is a rare but life-threatening complication requiring prompt diagnosis and surgical intervention.
  • Hematuria can be a key indicator of bladder injury during or after delivery.
  • Multidisciplinary management involving obstetrics and urology is crucial for optimal patient outcomes.