Immediate post-partum bladder rupture. Is serum creatinine evaluation relevant?

Markou, Georges A.; Μεταξάς, Γεώργιος; Vautier-Rit, S.; Muray, Jean; Poncelet, C.

doi:10.1016/j.gyobfe.2016.07.005

Cited by 7 publications

(9 citation statements)

References 13 publications

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“…Intraperitoneal bladder rupture causes an absorption of urine from the peritoneal cavity, resulting in elevated creatinine levels. Also, potassium concentrations increase, while sodium concentration decrease (5) .…”

Section: Discussionmentioning

confidence: 93%

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Spontaneous bladder rupture following non traumatic vaginal delivery in a multiparous woman: A rare case report

Ouafidi

Bouab

Kiram

et al. 2021

International Journal of Surgery Case Reports

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Introduction Spontaneous bladder rupture SBR is a rare condition and often missed diagnosis, especially after a nontraumatic vaginal delivery. Case presentation A 34-year-old patient who had a nontraumatic vaginal delivery presented to the emergency room 7 days later with acute abdomen and anuria. Computed tomography showed free fluid in the peritoneal cavity. An intraperitoneal rupture of the bladder dome was detected, showing extravasation of contrast into the peritoneal cavity. An exploratory laparotomy revealed a perforation on the bladder dome that was sutured. Clinical discussion SBR following vaginal delivery is an extremely rare condition. It represents a surgical emergency. Due to the low incidence and the presence of non-specific symptoms, diagnosis was usually delayed with an increased morbidity and mortality. Clinicians should consider this diagnosis in the presence of an acute abdominal pain associated to anuria or dysuria. We therefore recommend that the bladder be catheterized or drained before labour. Conclusion SBR is a rare and life-threatening condition in post-partum. Abdominal pain with elevated serum creatinine should be suspicious of urinary bladder rupture.

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Section: Discussionmentioning

confidence: 93%

“…SBR following vaginal delivery is an extremely rare condition (5) . It is considered a rare emergency and has significant morbidity and mortality (6) .…”

Section: Discussionmentioning

confidence: 99%

Spontaneous bladder rupture following non traumatic vaginal delivery in a multiparous woman: A rare case report

Ouafidi

Bouab

Kiram

et al. 2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Spontaneous rupture of the bladder (SRB) is a rupture that occurs in a healthy bladder without traumatic history [ 1 , 2 ]. Its usual clinical manifestations are abdominal pain and effusion [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous bladder rupture after non-traumatic vaginal delivery: a rare case report

Ellouze¹,

Abdelmoula²,

Elleuch³

et al. 2023

Pan Afr Med J

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Spontaneous bladder rupture (SBR) is a rare condition and often missed diagnosis, especially after a non traumatic vaginal delivery. A 32-year-old para 3 woman, consulted for abdominal pain and anuria two days after instrumental vaginal delivery with forceps for foetal distress in second sate of labour. Blood tests were suggestive of an acute renal failure. An abdominocentesis revealed a clear fluid looking like ascites. The ultrasound and computed tomography (CT) scan showed a large abdominal effusion. An exploratory laparoscopy revealed a bladder perforation which was sutured after laparotomy. SRB is extremely rare after a non traumatic vaginal delivery. It is associated with significant morbidity and mortality. Symptoms are mostly non-specific. It is suspected when post partum abdominal pain is associated with an effusion and renal failure signs. If suspected, the uroscanner remains the gold standard for diagnostic. Laparotomy is the standard surgical approach in this condition. Abdominal pain with elevated serum creatinine should be suspicious of SBR in post-partum.

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“…Post-partum spontaneous rupture of the urinary bladder (SRUB) is an extremely rare urological emergency, with only few cases reported in the literature. 1 , 2 , 3 , 4 , 5 It usually presents as acute abdomen without obvious traumatic or iatrogenic etiology. 1 , 2 It is a challenging diagnosis and there are no published guidelines for management.…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 , 3 , 4 , 5 It usually presents as acute abdomen without obvious traumatic or iatrogenic etiology. 1 , 2 It is a challenging diagnosis and there are no published guidelines for management. We report a case of SRUB 3 days after vaginal delivery.…”

Section: Introductionmentioning

confidence: 99%

Surgical management of spontaneous post-partum bladder rupture in an Amazonian emergency hospital

Barroso¹,

Maués²,

Castro³

et al. 2020

Urology Case Reports

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Spontaneous rupture of the urinary bladder (SRUB) is a rare urological emergency and even more uncommon in the puerperium. Post-partum bladder rupture might be associated with fetal pressure on the not emptied bladder wall during labor. We report a case of SRUB three days after normal vaginal delivery with high values of creatinine and absence of hematuria, surgically managed in an emergency hospital in the Amazon.

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Immediate post-partum bladder rupture. Is serum creatinine evaluation relevant?

Cited by 7 publications

References 13 publications

Spontaneous bladder rupture following non traumatic vaginal delivery in a multiparous woman: A rare case report

Spontaneous bladder rupture following non traumatic vaginal delivery in a multiparous woman: A rare case report

Spontaneous bladder rupture after non-traumatic vaginal delivery: a rare case report

Surgical management of spontaneous post-partum bladder rupture in an Amazonian emergency hospital

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