Spontaneous combined bladder and uterine rupture in pregnancy

McCarthy, Fergus P.; Ades, Alex; Ang, W. Catarina

doi:10.1111/j.1479-828x.2009.00959.x

Cited by 3 publications

(22 citation statements)

References 5 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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“…Dehiscence of caesarean scars has been identifi ed as the most common cause of uterine rupture (Diaz et al 2002;McCarthy et al 2009). Symptoms may be absent or uncertain but these include abdominal pain, vaginal bleeding, sudden onset of uterine contractions, cardiotocographic signs of fetal distress, hypotension or haematuria (van Alphen et al 1995).…”

Section: Discussionmentioning

confidence: 99%

Successful pregnancy reaching 36 weeks in a patient with previous recurrent uterine ruptures

Balcı¹,

Mahmoud²,

Göktepe³

2011

Journal of Obstetrics and Gynaecology

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“…Two had undergone previous cesarean sections [ 9 , 12 ], and one had an appendectomy and salpingectomy due to an ectopic pregnancy [ 13 ]. One case [ 12 ] reported a history of alcohol and drug abuse. Patients most commonly presented with abdominal pain [ 9 - 13 ], abdominal distension [ 9 , 11 - 13 ], oliguria and voiding difficulty [ 9 , 11 , 13 ], hematuria [ 10 , 12 ], fever [ 9 , 13 ], and vomiting [ 13 ].…”

Section: Reviewmentioning

confidence: 99%

“…Patients most commonly presented with abdominal pain [ 9 - 13 ], abdominal distension [ 9 , 11 - 13 ], oliguria and voiding difficulty [ 9 , 11 , 13 ], hematuria [ 10 , 12 ], fever [ 9 , 13 ], and vomiting [ 13 ]. Laboratory findings included elevated urea and creatinine levels in two cases [ 9 , 11 , 13 ], increased WBCs with a shift to neutrophilia in one case [ 13 ], and anemia and thrombocytopenia in the case of the combined uterus and bladder rupture [ 12 ]. The diagnosis of SRUB was primarily made by emergency laparotomy due to the patient's conditions [ 9 - 12 ].…”

Section: Reviewmentioning

confidence: 99%

“…Laboratory findings included elevated urea and creatinine levels in two cases [ 9 , 11 , 13 ], increased WBCs with a shift to neutrophilia in one case [ 13 ], and anemia and thrombocytopenia in the case of the combined uterus and bladder rupture [ 12 ]. The diagnosis of SRUB was primarily made by emergency laparotomy due to the patient's conditions [ 9 - 12 ]. Only in one case was an urgent ultrasound of the pelvis conducted, which showed a normal 16-week fetus with evidence of free fluid in the peritoneal cavity [ 13 ].…”

Section: Reviewmentioning

confidence: 99%

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Manifestation of Spontaneous Rupture of the Urinary Bladder in Pregnancy: A Systematic Review of the Literature

Ranjbar,

Mehrnoush,

Montazeri

et al. 2023

Cureus

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Spontaneous rupture of the urinary bladder (SRUB) during pregnancy is a potentially fatal event that necessitates immediate surgery. The aim of this systematic review is to determine the symptoms, causes, associated factors, and prognosis of SRUB in pregnancy. We searched the literature from inception until December 2022 using the Cochrane Central Register, PubMed, EMBASE, ProQuest, Scopus, and Google Scholar. Articles not in English and those unrelated to the topic were excluded. The JBI Critical Appraisal Checklist for case reports was employed for the risk of bias assessment. The search strategy yielded 312 citations; 29 full-text articles were evaluated for eligibility after screening. Five case reports were included in this review. The age range of the cases was 27-39 years. Four cases were in their second trimester of pregnancy, and one was in her third. Two cases had undergone previous cesarean sections, and one had an appendectomy and salpingectomy due to an ectopic pregnancy. One case reported a history of alcohol and drug abuse. The most common symptoms were abdominal pain, abdominal distension, oliguria, voiding difficulty, hematuria, fever, and vomiting. The diagnosis of SRUB was primarily made via emergency laparotomy due to the patients' critical conditions. Beyond its diagnostic role, laparotomy was also the treatment method in all cases. Tear repair, antibiotic therapy, and urinary catheterization were all integral parts of the treatment. Four cases resulted in an uneventful pregnancy and a healthy, full-term baby. In one case, a hysterectomy was performed due to a combined uterus and bladder rupture. SRUB often presents with non-specific symptoms, leading to a delayed diagnosis. A high index of suspicion is essential when a pregnant woman exhibits urinary symptoms and severe abdominal pain, especially in those with a history of previous surgery. Early detection and treatment of SRUB are critical for an uneventful recovery.

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Spontaneous combined bladder and uterine rupture in pregnancy

Cited by 3 publications

References 5 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

Successful pregnancy reaching 36 weeks in a patient with previous recurrent uterine ruptures

Manifestation of Spontaneous Rupture of the Urinary Bladder in Pregnancy: A Systematic Review of the Literature

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