scholarly journals Spontaneous Bladder Rupture after Normal Vaginal Delivery: Description of a Rare Complication and Systematic Review of the Literature

Diagnostics ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1885
Author(s):  
Guglielmo Stabile ◽  
Francesco Cracco ◽  
Davide De Santo ◽  
Giulia Zinicola ◽  
Federico Romano ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Vaginal Delivery ◽  
Rare Complication ◽  
Diagnostic Methods ◽  
Pelvic Surgery ◽  
Bladder Rupture ◽  
Normal Vaginal Delivery ◽  
X Rays ◽  
Spontaneous Bladder Rupture ◽  
Rupture Of The Bladder

Objective: To identify the possible causes of spontaneous bladder rupture after normal vaginal delivery and to propose a diagnostic and therapeutic algorithm. Material and Methods: MEDLINE (PubMed), Web of Science and Scopus databases were searched up to August 2020. Manuscripts considered were published from 1990 and only English articles were included. The research strategy adopted included the following terms: (bladder rupture) AND (spontaneous) AND (delivery). 103 studies were identified. Duplicates were found through an independent manual screening. Subsequently, two authors independently screened the full text of articles and excluded those not pertinent to the topic. Discrepancies were resolved by consensus. Finally, thirteen studies were included. Results: PRISMA guidelines were followed. For each study, fetal weight, catheterization during labor, parity, maternal age, occurrence time, previous abdominal or pelvic surgery, symptoms complained of, diagnostic methods, and treatment were considered. Median age was 26.0 (range 20–34 years); median presentation time was 3.0 days after delivery (range 1–20 days); and median newborn weight was 3227.0 g (range 2685–3600 g). Catheterization during labor was reported only in four of the thirteen cases (30.8%) identified. The symptoms most frequently complained of were abdominal pain and distension, fever, oliguria, haematuria and vomiting. Instrumental diagnosis was performed using X-rays in five cases and computerized tomography in six cases. Ultrasound was chosen in five cases as a first diagnostic tool. In two cases, cystography was performed. Treatment was always laparotomic repair of the visceral defect. Conclusion: Abdominal pain, increased creatinine and other signs of kidney failure on blood tests should lead to suspicion of this complication. Cystourethrography is regarded as a procedure of choice, but a first ultrasound approach is recommended. The main factor for the therapeutic choice is the intraperitoneal or extraperitoneal rupture of the bladder. Classical management for intraperitoneal rupture of the bladder is surgical repair and urinary rest.

scholarly journals Postpartum spontaneous bladder rupture

2019 ◽  
Vol 8 (9) ◽  
pp. 3794
Author(s):  
Vijay Zutshi ◽  
Sana Tiwari ◽  
Renu Arora
Keyword(s):  
Early Diagnosis ◽  
Vaginal Delivery ◽  
Kidney Function ◽  
Rare Complication ◽  
The Other ◽  
Abdominal Distention ◽  
Bladder Rupture ◽  
Normal Vaginal Delivery ◽  
Spontaneous Bladder Rupture ◽  
Function Test

Spontaneous bladder rupture after normal vaginal delivery is a rare complication. Patients may present with abdominal distention, fever, haematuria, oliguria and deranged KFT (kidney function test). We are reporting two cases of primigravida with postpartum bladder rupture, one case was diagnosed at laparotomy and the other preoperatively. A patient who presents with retention of urine, haematuria ascites and deranged KFT after uneventful normal vaginal delivery, spontaneous bladder rupture should be suspected. Early diagnosis and management can decrease the morbidity.  

scholarly journals A Case of Idiopathic Recurrent Spontaneous Bladder Rupture

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Reid Bartholomew ◽  
Mentor Ahmeti
Keyword(s):  
Abdominal Pain ◽  
Operating Room ◽  
Neurogenic Bladder ◽  
Bladder Rupture ◽  
Contrast Extravasation ◽  
Spontaneous Bladder Rupture ◽  
Ischemic Bowel ◽  
History Of ◽  
Radiation Stricture ◽  
Elevated Creatinine

Background. A female patient presented four years following spontaneous bladder rupture with a recurrent spontaneous bladder rupture. Summary. Urinary bladder rupture is a condition usually caused by trauma or surgical instrumentation. Spontaneous bladder rupture is a much more uncommon condition and is associated with intoxication, radiation, stricture, or neurogenic bladder. We describe a case of a 40-year-old woman with a history of three caesarian sections with an idiopathic recurrent spontaneous bladder rupture. Originally, she presented with one day of worsening severe abdominal pain. CT showed possible ischemic bowel. She was taken to the operating room (OR) and found to have a bladder rupture. This was repaired, and she did well postoperatively. Four years later, she presented to the emergency department (ED) with one week of worsening abdominal pain that became severe acutely. Given that she had a similar issue four years prior the patient was suspicious, her bladder was again ruptured. CT cystogram showed contrast extravasation into the peritoneum. The patient was taken urgently to the operating room for an open repair of the bladder rupture. She did well following the procedure. Conclusion. Spontaneous bladder rupture is a surgical emergency and should be in the differential diagnosis of any patient with peritonitis with elevated creatinine and free intraperitoneal fluid. This diagnosis should especially be considered if the patient has a history pelvic radiation, neurogenic bladder, or intoxication. We submit that a history of multiple pelvic surgeries should be included in this list. CT cystogram is the diagnostic test of choice. Operative repair is generally the treatment for this condition.

Acute Abdomen Syndrome Due To Spontaneous Intraperitoneal Bladder Rupture Following Vaginal Delivery

2017 ◽  
Vol 222 (01) ◽  
pp. 34-36 ◽  
Author(s):  
Dubravko Habek ◽  
Ingrid Marton ◽  
Ana Luetic ◽  
Matija Prka ◽  
Zeljka Kuljak ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Vaginal Delivery ◽  
Uterine Rupture ◽  
Rare Case ◽  
Adverse Outcome ◽  
Bladder Rupture ◽  
Normal Vaginal Delivery ◽  
Intraperitoneal Bladder Rupture ◽  
New Onset

AbstractWe report a rare case of spontaneous intraperitoneal bladder rupture following normal vaginal delivery without concomitant uterine rupture. Key diagnostic clinical features were acute renal failure, new-onset ascites and bowel ileus with urosepsis. Laparotomy and bladder repair with omentum patch were performed with no adverse outcome reported.

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

2020 ◽  
Vol 33 ◽  
pp. 101377
Author(s):  
Patricio Modina ◽  
Leandro Vidal ◽  
Carlos I. David ◽  
Conrado Leal ◽  
Ricardo Escowich ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Bladder Rupture ◽  
Spontaneous Bladder Rupture ◽  
Laparoscopic Management

scholarly journals THE EFFECTIVENESS OF INSERTION OF IMMEDIATE POSTPARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (IPP-IUCD) IN TERMS OF MODES OF DELIVERY

2020 ◽  
Vol 28 (4) ◽  
pp. 367-371
Author(s):  
Qudsia Qazi ◽  
Nazia Liaqat ◽  
Shehzadi Saima Hussain ◽  
Saima Khattak
Keyword(s):  
Abdominal Pain ◽  
Vaginal Delivery ◽  
Vaginal Bleeding ◽  
Intrauterine Contraceptive Device ◽  
Normal Vaginal Delivery ◽  
Contraceptive Device ◽  
Normal Delivery ◽  
Significant Difference ◽  
Intrauterine Contraceptive

BACKGROUND: Family planning helps couples to attain their desired number of children and proper timings of their births (1). It is best achieved with different contraceptive methods. Immediate postpartum intrauterine contraceptive device (IPPIUCD) is an excellent contraception providing safe, effective and long term reversible contraception in women after both normal delivery and c/section(2). It reduces postpartum undesired pregnancies and thus induced abortions (3). It is coitus independent, easy to insert and does not affect breastfeeding. Both care provider and client are available in the same setting, securing time and cost of interval IUD insertion.  PPIUCD is associated with primary complications like pregnancy and secondary ones as irregular vaginal bleeding, abdominal pain, infection, expulsion and uterine perforation. PPIUCD counselling services regarding its common side effects and complications are important. There is minimal research comparing follow up outcomes between vaginal and caesarean insertions. The objective of study is to compare outcomes of IPPIUCD as a factor of route of insertion. METHODS: In this prospective comparative study 200 patients in whom postpartum IUCD was inserted within 10 minutes of delivery of placenta after normal vaginal delivery or c/section were included. About first 100 cases of vaginal and first 100 cases of intra-cesarean PPIUCD insertions formed study groups. Record of clients was maintained and analysis at 6 weeks to 12 weeks post insertion follow up visit was done at gynae and obstetric unit of Lady Reading Hospital Peshawar. RESULTS: Of total 1005 IPPIUCD inserted during the study period, about 156( 15.5%) were inserted intra-cesarean and 849 (84.4%) after vaginal delivery. Follow up of 200 (19.9%) clients i.e. about 100 intra-cesarean and 100 vaginal insertions was recorded. Complications rate was low. No life threatening complication such as perforation was recorded. Most common complications observed between vaginal vs intra-cesarean insertions were irregular vaginal bleeding in (11% vs 5%), abdominal pain(6% vs 9%), vaginal discharge(8% vs 5%),spontaneous expulsions  (8% vs 2%) and lost strings (14% vs 1%). Statistically significant difference was found between two groups with respect to lost strings (P=0.0006). CONCLUSION: IPPIUCD is an acceptable, safe (in terms of complications) and effective contraceptive option after both vaginal and intra-cesarean insertions. Early follow up examinations are helpful in identifying spontaneous expulsions and dealing common problem.

Intraperitoneal Bladder Rupture After Normal Vaginal Delivery

1995 ◽  
Vol 153 (3) ◽  
pp. 725-727 ◽  
Author(s):  
Adam S. Kibel ◽  
David R. Staskin ◽  
Victor E. Grigoriev
Keyword(s):  
Vaginal Delivery ◽  
Bladder Rupture ◽  
Normal Vaginal Delivery ◽  
Intraperitoneal Bladder Rupture

scholarly journals Urinothorax: A rare complication of spontaneous bladder rupture

2019 ◽  
Vol 6 (4) ◽  
pp. 16
Author(s):  
Cyrus Veryl Edelson ◽  
Scott Francis David Edelson ◽  
Jerome Craig Edelson ◽  
Guy S. Dooley
Keyword(s):  
Pleural Effusion ◽  
Alcohol Consumption ◽  
Adult Patient ◽  
Pleural Cavity ◽  
Rare Complication ◽  
Bladder Wall ◽  
Rare Condition ◽  
Autoimmune Disorders ◽  
Bladder Rupture ◽  
Spontaneous Bladder Rupture

Urinothorax (UT) is an uncommon cause of pleural effusion where urine collects in the pleural cavity that is usually caused by trauma or urinary obstruction. Spontaneous bladder rupture is another rare condition that is commonly caused by underlying bladder wall pathology and exacerbated by binge alcohol consumption, malignancy, autoimmune disorders, radiation, and obstructive or neurogenic pathology. We present a case of urinothorax caused by spontaneous bladder rupture in an adult patient successfully recognized and treated.

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