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Z Geburtshilfe Neonatol 2018; 222(01): 34-36
DOI: 10.1055/s-0043-117898
Case Report
© Georg Thieme Verlag KG Stuttgart · New York

Acute Abdomen Syndrome Due To Spontaneous Intraperitoneal Bladder Rupture Following Vaginal Delivery

Akutes Abdomen durch intraperitoneale Harnblasenruptur nach vaginaler Geburt
Dubravko Habek
1   Department of Obstetrics and Gynecology, Clinical Hospital “Sveti Duh”, Zagreb and Croatian Catholic University Zagreb, Croatia
,
Ingrid Marton
1   Department of Obstetrics and Gynecology, Clinical Hospital “Sveti Duh”, Zagreb and Croatian Catholic University Zagreb, Croatia
,
Ana Tikvica Luetic
1   Department of Obstetrics and Gynecology, Clinical Hospital “Sveti Duh”, Zagreb and Croatian Catholic University Zagreb, Croatia
,
Matija Prka
1   Department of Obstetrics and Gynecology, Clinical Hospital “Sveti Duh”, Zagreb and Croatian Catholic University Zagreb, Croatia
,
Zeljka Kuljak
2   School of Midwifery, Zagreb, Croatia
,
Krešimir Živković
1   Department of Obstetrics and Gynecology, Clinical Hospital “Sveti Duh”, Zagreb and Croatian Catholic University Zagreb, Croatia
,
Mario Cenkovčan
1   Department of Obstetrics and Gynecology, Clinical Hospital “Sveti Duh”, Zagreb and Croatian Catholic University Zagreb, Croatia
,
Berislav Mazuran
3   Department of Urology, Clinical Hospital Sveti Duh, Zagreb and Croatian Catholic University Zagreb, Croatia
› Author Affiliations
Further Information

Publication History

eingereicht 14 May 2017

akzeptiert  21 July 2017

Publication Date:
31 August 2017 (online)

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Abstract

We report a rare case of spontaneous intraperitoneal bladder rupture following normal vaginal delivery without concomitant uterine rupture. Key diagnostic clinical features were acute renal failure, new-onset ascites and bowel ileus with urosepsis. Laparotomy and bladder repair with omentum patch were performed with no adverse outcome reported.

Zusammenfassung

Wir berichten über einen seltenen Fall spontaner intraperitonealer Harnblasenruptur nach normaler vaginaler Geburt ohne gleichzeitige Uterusruptur. Wichtige diagnostische klinische Merkmale waren akutes Nierenversagen, neu aufgetretener Aszites und Darm-Ileus mit Urosepsis. Laparotomie und Blasenreparatur mittels Omentum-Patch wurde ohne Komplikationen durchgeführt.

Key words

vaginal delivery - intraperitoneal bladder rupture - acute renal failure - urosepsis

Schlüsserwörter

intraperitoneale Harnblasenruptur - akutes Nierenversagen - Urosepsis
 

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