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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
|January 16, 2026
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.
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.
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