Spontaneous bladder rupture after normal delivery: A case report

Spontaneous rupture of the bladder after normal vaginal delivery is very rare. In this study, a rare case of spontaneous bladder rupture after normal vaginal delivery was reported.

A 32-year-old multigravida woman presented to Bent Al-Hoda Hospital in Bojnourd with a complaint of abdominal pain 6 days after normal delivery. At the time of discharge, the patient had no problems after delivery. The history showed that urine decreased from 3 days after delivery with abdominal pain. On abdominal examination, the abdomen was soft with slight guarding and tenderness in the lower right quadrant of the abdomen. Complete blood cell count, liver and kidney test, emergency ultrasound, and surgical consultation were requested. In the laboratory evaluations, creatine was high. On ultrasound, the posterior wall of the bladder was irregular and wrinkled, and about 600-700 cc of free fluid was seen in the abdominal and pelvic cavities. Suspected of bladder rupture, the patient underwent emergency laparotomy and bladder was repaired.

Abdominal pain is a common symptom in clinical manifestations of pain during labor and then bladder rupture, therefore it is recommended to consider the occurrence of any type of pain as an important warning sign in bladder rupture. Also, this complication can be prevented with emptying the bladder before delivery, and exact examination of the bladder drain before discharge from the hospital will help in timely diagnosis, prompt treatment, and improvement of the prognosis.