TWINS DELIVERY VIA AN INADVERTENT TRANSVESICAL UTERINE SECTION: A CASE REPORT

Intraperitoneal bladder trauma is considered a urological emergency that needs prompt diagnosis and treatment. Emergency transvesical uterine section was carried out to deliver twins of a 35 year old woman in 33rd gestational age diagnosed as a case of preterm labor. Inadvertent long anterior and posterior transverse bladder openings were done before entering the uterus and both fetuses were delivered through the bladder. The injury repaired immediately with suprapubic and urethral catheterization. Six months after repairment، the patient is voiding normally. To the best of our knowledge، transvesical uterine section for delivery reported very rarely. Prompt repair of such extended bladder trauma has a significant role in the restoring of the normal bladder function.