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Case Reports
. 2020 Aug 7:33:101377.
doi: 10.1016/j.eucr.2020.101377. eCollection 2020 Nov.

Spontaneous bladder rupture: Laparoscopic management of rare complications after nontraumatic vaginal delivery

Patricio Modina  1 , Leandro Vidal  2 , Carlos I David  1 , Conrado Leal  3 , Ricardo Escowich  3 , Miguel A Bergero  1
Affiliations
Case Reports

Spontaneous bladder rupture: Laparoscopic management of rare complications after nontraumatic vaginal delivery

Patricio Modina et al. Urol Case Rep. .

Abstract

Introduction: Spontaneous bladder rupture is a rare condition, especially after a nontraumatic vaginal delivery.

Case presentation: A 32-year-old patient who had had a nontraumatic vaginal delivery presented to the emergency room with abdominal pain and anuria. Computed tomography showed free fluid in the peritoneal cavity. An exploratory laparoscopy revealed a perforation on the bladder dome that was laparoscopically sutured.

Conclusion: In the presence of an acute abdominal pain with free fluid in the peritoneal cavity after a nontraumatic vaginal delivery, a differential diagnosis should be a spontaneous rupture of the bladder.

Keywords: Laparoscopy; Reconstructive surgical procedures; Rupture; Urinary bladder.

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Figures

Fig. 1
Fig. 1
Images characteristics. Fast scanning showed free fluid in the peritoneal space (Fig. 1A). Computed tomography without endovenous contrast showed similar findings, as well as free fluid in the peritoneal space (Fig. 1B-D).
Fig. 2
Fig. 2
Intraoperative description. An exploratory laparoscopy revealed a peritoneal citrine fluid concomitant with a perforation on the bladder dome (Fig. 2A). Consequently, after draining off the free fluid and performing an incisional biopsy (Fig. 2B), the bladder perforation was laparoscopically sutured (Fig. 2C-D).
See this image and copyright information in PMC

References

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