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

Ouafidi, Btissam; Bouab, Maryem; Kiram, Hamza; Jalal, Mohamed; Lamrissi, Amine; Fichtali, Karima; Bouhya, S.

doi:10.1016/j.ijscr.2021.106349

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Once exclusion criteria were applied to the abstracts, 352 studies remained for full‐text review. After again applying the exclusion criteria to the full texts, a total of 278 manuscripts remained and were included in the final review […”

Section: Resultsmentioning

confidence: 99%

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

et al. 2023

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Objectives To perform a systematic review of all cases of spontaneous rupture of the urinary bladder (SRUB) and to describe the demographic data, associated comorbidities, clinical presentation, diagnosis, relevant laboratory findings, associated factors, management, morbidity and mortality associated with the presentation of SRUB. Methods The study protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO). A search was carried out across the following electronic databases: PubMed, Web of Science, Scopus, Google Scholar and the Cochrane Database of Systematic Reviews. Full texts of selected studies were analysed, and data extracted. The review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA). Results A total of 278 articles comprising 240 case reports and 38 case series, with a total of 351 patients were included. The median (interquartile range [IQR]) age of all included patients was 47.5 (33–65) years. The median (IQR) time to presentation was 48 (24–96) h, with the major presenting symptom being abdominal pain (76%). In patients in whom the diagnosis was made prior to any intervention, the condition was misdiagnosed in 64% of cases. The diagnosis was confirmed during explorative open surgery in 42% of cases. Pelvic radiation (13%) and alcohol intoxication (11%) were the most common associated factors. Intraperitoneal rupture (89%) was much more common, with the dome of the bladder being most frequently involved (55%). The overall mortality was 15%. Conclusion This review identified a number of key factors that appear to be associated with an increased incidence of SRUB. It also emphasized the high rate of misdiagnosis and challenge in confirming the diagnosis. Overall, it highlighted the importance of the need for increased awareness and maintaining a high index of suspicion for this condition.

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Section: Resultsmentioning

confidence: 99%

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

et al. 2023

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“…Bladder distension and compression can also be caused by the absence of bladder catheterization during labor, the presence of a bladder diverticulum and prolonged second stage of labour especially in association with foetal macrosomia [ 2 ]. However, neither foetal macrosomia nor high parity alone are predisposing factors for SRB [ 6 ]. Few cases of SRB after urethral catheterization without other predisposing factors have been described in the literature [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…To prevent this kind of complication, it is recommended to use catheters of not too thin a gauge and avoid deep introduction of the catheter into the bladder in the final phase of labor [ 2 ]. In our case, the predisposing factor for SRB was forceps delivery on the one hand and the abdominal compression maneuvers (application of fundal pressure) on the other hand especially that the rupture was located at the dome which is the thinnest area of the bladder [ 6 ]. The real role of compression maneuver is understudied [ 2 ].…”

Section: Discussionmentioning

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

Cited by 2 publications

References 13 publications

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

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

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