A rare cause of acute abdomen: Spontaneous bladder rupture following normal vaginal delivery

Abstract

A 34-year-old woman presented with acute abdomen, and her paraclinical data showed evidence concerning renal failure and its consequences in addition to ascites upon ultrasonography. Her symptoms did not abate after dialysis, and she underwent laparotomy, which revealed bladder perforation. Consequently, cystorrhaphy and cystoplasty were done without postoperative complications.

Small Bowel Obstruction in Postpartum Vaginal Delivery due to Prior Abdominal Adhesions Case Report

“…Intestinal obstruction is rarely observed after an uncomplicated vaginal delivery with an incidence of 1 in 3000 and a high mortality rate of 18–25% [ 1 ]. The differential diagnosis for acute abdominal pain in the postpartum period includes postoperative complications including hemoperitoneum, appendicitis, cholecystitis, adhesive intestinal obstruction, ileus after Cesarean section, perforated peptic ulcer, bladder rupture [ 2 ], bacterial peritonitis [ 3 ], and ovarian torsion [ 4 ]. Specifically related to postpartum is Ogilvie's syndrome, which is denervation of parasympathetic nerves causing atonic distal colon and pseudo-colonic obstructions.…”