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

• Main Authors: Patricio Modina, Leandro Vidal, Carlos I. David, Conrado Leal, Ricardo Escowich, Miguel A. Bergero
• Format: Article
• Language: English
• Published: Elsevier 2020-11-01
• Series: Urology Case Reports
• Subjects: Urinary bladder; Rupture; Laparoscopy; Reconstructive surgical procedures
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214442020302667
• ISSN: 2214-4420

Introduction: Spontaneous bladder rupture is a rare condition, especially after a nontraumatic vaginal delivery. Case presentation: A 32-year-old patient who had had a nontraumatic vaginal delivery presented to the emergency room with abdominal pain and anuria. Computed tomography showed free fluid in the peritoneal cavity. An exploratory laparoscopy revealed a perforation on the bladder dome that was laparoscopically sutured. Conclusion: In the presence of an acute abdominal pain with free fluid in the peritoneal cavity after a nontraumatic vaginal delivery, a differential diagnosis should be a spontaneous rupture of the bladder.