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Bladder Rupture Caused by Postpartum Urinary Retention

Dueñas-García, Omar Felipe MD1; Rico, Hugo MD1; Gorbea-Sanchez, Viridiana MD2; Herrerias-Canedo, Tomas MD2

doi: 10.1097/AOG.0b013e31817997a4
Case Reports
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BACKGROUND: Postpartum bladder rupture is an uncommon surgical emergency and a diagnostic challenge.

CASE: A primigravida delivered a healthy newborn without complications at 39.4 weeks of gestation. The patient was admitted 80 hours postpartum with abdominal pain, oliguria, hematuria, and pain that worsened during the previous 4 hours. An inserted Foley catheter drained only a small amount of urine, and serum creatinine was elevated (3.5 mg/dL). A laparotomy was performed and revealed a 10-cm hole in the urinary bladder. The bladder was repaired and the patient was discharged 15 days after surgery. The follow-up cystoscopy revealed adequate healing of the bladder.

CONCLUSION: Urinary retention can lead to serious complications, including bladder rupture. Postpartum bladder rupture due to urinary retention should be ruled out if there is a history of abdominal pain, oliguria, and elevated of serum creatinine.

Urinary retention can lead to serious complications, including bladder rupture.

From the Departments of 1Obstetrics and 2Urogynecology, National Institute of Perinatology, Mexico City, Mexico.

The authors thank Adalberto Parra-Covarrubias and Jorge Ramirez-Peredo for writing this article.

Presented as a poster at the District VII of the American College of Obstetricians and Gynecologists Annual Meeting, Las Vegas, Nevada, October 26–28, 2007.

Corresponding author: Omar Felipe Dueñas-García, Montes Urales 800, Lomas Virreyes, Delegaciön Miguel Hidalgo, 11000, Mexico City, Mexico; e-mail: dugof1@hotmail.com.

Financial Disclosure The authors have no potential conflicts of interest to disclose.

© 2008 The American College of Obstetricians and Gynecologists