DOI: 10.36347/sjmcr.2021.v09i10.026

Pages: 1023-1025

Spontaneous rupture of the bladder after a vaginal delivery is an extremely rare situation. We report the case of a 32-year-old female patient who, after a vaginal delivery, presented persistent abdominal pain associated with hematuria followed by an anuria. The exaggeration of abdominal pain associated with a gradual increase in the volume of the abdomen have motivated abdominopelvic ultrasound and an injected uroscan with acquisition at the late time confirmed the diagnosis of bladder rupture that was clinically presumed, showing a finely echogenic great abundance peritoneal effusion on ultrasound, an intact uterus and contrast product extravasation outside the bladder. Its etiology is multifactorial incriminating hyperpressure of the fetal head on the bladder not previously emptied during the second phase of labor in addition to the bladder wall weakening factors. Bladder evacuation is recommended during the second phase of labor to avoid any risk of rupture.