Bladder Rupture Presented with Acute Abdominal Pain and Renal Dysfunction: A Postpartum Emergency Case Report

• Main Authors: Hamed Jafarpour, Alireza Salehi, Arash Rezaei shahmirzadi, Sara Sadr, Aghdas Ebadi
• Format: Article
• Language: English
• Published: Mashhad University of Medical Sciences 2019-01-01
• Series: Journal of Midwifery & Reproductive Health
• Subjects: Bladder rupture; Vaginal delivery; Abdominal pain; Renal dysfunction
• Online Access: http://jmrh.mums.ac.ir/article_11816_b13f34fb0ec39e8465e68b27be07da89.pdf

Background:Spontaneous bladder rupture is a rare condition, and almost all the reported cases in the world have been preceded by bladder dysfunction, radiotherapy, urinary tract obstruction, pelvic surgery, inflammation, and malignancy. Case report: In this study, we present the case of a 39-year-old woman (G: 4, P: 1, Ab: 2) who was in week 38 of pregnancy and attended our hospital with the onset of labor pain. She gave birth to a 3200 g infant through normal vaginal delivery.   The patient attended with severe abdominal pain and oliguria four days after delivery. Ultrasonography showed massive abdominal fluid and bladder rupture. Conclusion: Regarding the rareness of bladder rupture during vaginal delivery, we introduced a case of bladder rupture following delivery.  This case is important for midwives and gynecologists to gain more information about normal vaginal delivery complications to accelerate diagnostic and therapeutic interventions.