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

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.