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Journal List > Korean J Urol > v.47(12) > 1069821

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Hong, Chung, Kim, Yang, and Kim: Extraperitoneal Bladder Rupture following a Normal Spontaneous Vaginal Delivery
Case Report
Korean Journal of Urology

Korean Journal of Urology 2006; 47(12): 1371-1373.

Published online: 31 December 2006

DOI: https://doi.org/10.4111/kju.2006.47.12.1371

Extraperitoneal Bladder Rupture following a Normal Spontaneous Vaginal Delivery

Woo Sung Hong, Hong Chung, Tong-Wook Kim, Sang Kuk Yang, Hong Sup Kim

Department of Urology, College of Medicine, Konkuk University, Chungju, Korea.

Corresponding author (hskim@kku.ac.kr)

Received 3 July 2006       Accepted 19 July 2006

Copyright © 2006 The Korean Urological Association

Abstract

The urinary bladder is seldom injured by external forces, as it is located in the pelvic cavity, behind the symphysis pubis, and protected by the bony pelvis. Gynecological procedures are a major cause of bladder injury. Herein, a case of extraperitoneal bladder rupture, identified 6 days after vaginal delivery in a 27-year-old woman, with no history of cesarean section or pelvic surgery, and who was cured of the bladder rupture using conservative treatment with the indwelling of a urethral Foley catheter, is reported.

Keywords: Bladder, Rupture, Postpartum period

Figures and Tables

kju-47-1371-g001
Fig. 1
A 600-ml filling cystogram with contrast material. This shows an extravasation from the upper right part of the bladder.

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Fig. 2
Abdomino-pelvic enhanced computed tomographic image. The anterior margin of the bladder is not definite, and the extravasation is identified in Retzius' space.

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kju-47-1371-g003
Fig. 3
Changes of body weight and urine output. As urine output decreased, body weight is also normalized through the hospital days.

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References

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