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Ruptura espontánea de vejiga durante el parto vaginal

Diogo Carmali1, Júlia Quiterres2, Sara Duarte1

  • 1Urology Department, Unidade Local de Saúde Amadora Sintra, Amadora, Portugal.

Case reports in urology
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Resumen

La ruptura concurrente de útero y vejiga durante el parto vaginal es rara. Este caso destaca el diagnóstico rápido y la reparación quirúrgica para un resultado favorable en una paciente con una cesárea previa.

Palabras clave:
parto vaginalruptura de vejigaruptura uterinacesárea previaemergencia obstétrica

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Área de la Ciencia:

  • Obstetricia y Ginecología; Urología

Sus antecedentes:

  • La ruptura espontánea de la vejiga es una complicación rara pero grave del parto vaginal.
  • La ruptura concurrente de útero y vejiga es excepcionalmente infrecuente, especialmente en pacientes con antecedentes de cesárea.

Objetivo del estudio:

  • Informar un caso muy inusual de ruptura concurrente de útero y vejiga después de la inducción del parto y el parto vaginal.
  • Enfatizar la importancia de reconocer y manejar esta emergencia obstétrica crítica.

Principales métodos:

  • Reporte de caso de una mujer de 32 años con una cesárea previa.
  • Diagnóstico intraoperatorio mediante laparotomía tras sospecha de hematuria.
  • Reparación quirúrgica de ambas rupturas uterina y vesical.

Principales resultados:

  • Reparación quirúrgica exitosa de la ruptura concurrente de útero y vejiga.
  • Recuperación completa de la paciente.
  • Demuestra la viabilidad del parto vaginal después de una cesárea en casos seleccionados, aunque con riesgos significativos.

Conclusiones:

  • La ruptura concurrente de útero y vejiga es una complicación rara pero potencialmente mortal que requiere diagnóstico y intervención quirúrgica rápidos.
  • La hematuria puede ser un indicador clave de lesión vesical durante o después del parto.
  • El manejo multidisciplinario que involucra obstetricia y urología es crucial para resultados óptimos del paciente.