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Intraperitoneal bladder rupture after normal vaginal delivery

A S Kibel1, D R Staskin, V E Grigoriev

  • 1Department of Urology, Beth Israel Hospital, Harvard University School of Medicine, Boston, Massachusetts.

The Journal of Urology
|March 1, 1995
PubMed
Summary
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This case study presents the first documented instance of bladder perforation in a woman without prior pelvic surgery or childbirth. The patient experienced postpartum renal failure and ascites due to a ruptured bladder.

Area of Science:

  • Urology
  • Obstetrics & Gynecology
  • Surgical Case Reports

Background:

  • Bladder perforation is a rare but serious complication.
  • Intraperitoneal bladder rupture typically occurs secondary to trauma or surgery.
  • Spontaneous rupture without prior pelvic intervention is exceptionally uncommon.

Observation:

  • A postpartum patient presented with acute renal failure and abdominal ascites.
  • Diagnostic procedures, including paracentesis and cystography, revealed urinary ascites and a bladder rupture.
  • The patient had no history of pelvic surgery or delivery.

Findings:

  • The study documents the first reported case of bladder perforation in a patient with no prior history of pelvic surgery or delivery.
  • Successful open surgical repair of the bladder was performed.

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  • Postoperative recovery was uneventful.

    • Implications:

    • This case expands the understanding of potential causes for bladder rupture.
    • It highlights the importance of considering spontaneous bladder perforation in postpartum patients presenting with ascites and renal failure.
    • The review of literature on intraperitoneal bladder rupture and urinary ascites provides valuable context for clinicians.