Emergency laparoscopic exploration of postpartum spontaneous rupture of the urinary bladder:A case report and review of literature

Year 2019, Volume: 10 Issue: 1, 7 - 10, 01.01.2019

Zhichao Xu Xiaoqing Wang Jun Wang Zhiayan Li Junkai Du

https://doi.org/10.33706/jemcr.550551

Cited By: 1

Abstract

Introduction:
Spontaneous rupture of the urinary bladder(SRUB)
is a relatively rare cause of acute abdomen disease, whcih was easily
complicated with diffuse peritonitis, septic shock, acute renal failure.
Athough a few cases about postpartum
patient sufferred from SRUB have been reported recently,the management of postpartum SRUB was
not well established.

Case
Report: The subject
of this case was a 37-year-old postpartum woman who presented with abdominal pain for one day.Based on his clinical presentation,
investigation results, it
was highly
suspected for urinary
disease complicated with diffuse peritonitis, such as SRUB, ureteral rupture. Given that vital signs were unstable and peritonitis signs were aggravating gradually, emergency laparoscopic exploration were performed.
There was a visible rupture in the left posterior of the bladder wall, with a
diameter of 2cm.Laparoscopic repair was employed and patient recovered well. In
this article, we
also reviewed relevant literatures to 
initially establish main
diagnostic basis for
postpartum SRUB.

Conlcusion:
Postpartum
women with a complaint of acute abdomen pain maybe caused by SRUB, especially
companied with oliguria and dysuria. And laparoscopy have an obvious advantage
to the diagnosis and treatment for highly suspected postpartum
SRUB.

Keywords

Spontaneous rupture of the urinary bladder, Postpartum

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