Obstructed labour due to bladder stone: Case report

Kiran Joshi,Vasant Kawade

doi:10.18231/j.ijogr.2020.090

Abstract

Vesical calculus is a very rare complication of pregnancy and an uncommon cause of obstructed labour. If undiagnosed, it can be a diagnostic dilemma in labour if the patient presents in labour. We report a case of a large vesical calculus causing obstructed labour, presented in the second stage of labour in a remote, rural, tertiary care hospital. Caesarean section was done for obstructed labour, vesical calculus was diagnosed intraoperative and cystolithotomy performed simultaneously.

Highlights

Bladder stones are a rare complication of pregnancy, with only 10 cases reported till the end of last century.[1]
We report a case of a large vesical calculuscausing obstructed labour in the second stage of, because of its rarity
Suprapubic cystotomy is the safest approach to a large calculus in antenatal period, but it should be deferred until late in pregnancy to avoid precipitating premature labour.[4]

Summary

Introduction

Bladder stones are a rare complication of pregnancy, with only 10 cases reported till the end of last century.[1] A big calculus more than 100 gms leading to obstructed labour is a very rare clinical entity. 2 Asymptomatic bladder stone can attain a large size. 19 cases have been reported in literature till 2017. Such a big bladder stone may be diagnosed sometimes, though very rare for the first time during labour as in this case. In such situations timely intervention becomes very necessary so as to avoid complications of obstructed labour and urinary fistula formation. We report a case of a large vesical calculuscausing obstructed labour in the second stage of, because of its rarity

Case Report

Conclusion

Discussion