Korean J Urol.  2006 Dec;47(12):1371-1373. 10.4111/kju.2006.47.12.1371.

Extraperitoneal Bladder Rupture following a Normal Spontaneous Vaginal Delivery

• Hong WS
• Chung H
• Kim TW
• Yang SK
• Kim HS

• KMID: 2139786
• DOI: http://doi.org/10.4111/kju.2006.47.12.1371

Abstract

The urinary bladder is seldom injured by external forces, as it is located in the pelvic cavity, behind the symphysis pubis, and protected by the bony pelvis. Gynecological procedures are a major cause of bladder injury. Herein, a case of extraperitoneal bladder rupture, identified 6 days after vaginal delivery in a 27-year-old woman, with no history of cesarean section or pelvic surgery, and who was cured of the bladder rupture using conservative treatment with the indwelling of a urethral Foley catheter, is reported.

Keyword

Bladder; Rupture; Postpartum period

MeSH Terms

Adult
Catheters
Cesarean Section
Female
Humans
Pelvis
Postpartum Period
Pregnancy
Rupture*
Urinary Bladder*

Figure

• 

  Fig. 1 A 600-ml filling cystogram with contrast material. This shows an extravasation from the upper right part of the bladder.

• 

  Fig. 2 Abdomino-pelvic enhanced computed tomographic image. The anterior margin of the bladder is not definite, and the extravasation is identified in Retzius' space.

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  Fig. 3 Changes of body weight and urine output. As urine output decreased, body weight is also normalized through the hospital days.

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