Spontaneous rupture of urinary bladder in second trimester Of pregnancy

Abstract

A rare case of spontaneous rupture of urinary bladder in the second trimester of pregnancy is described. This report highlights the rarity of this complication and its diagnostic challenge. The patient presented with acute abdominal pain, voiding difficulty and biochemical features of renal failure. Four days prior to her presentation, she was treated empirically as urinary infection when she complained of retention like symptoms. At laparotomy, around 3 liters of urine found in abdominal cavity with a 2 cm hole in the vault of bladder.TB culture was negative and bladder biopsy showed non specific inflammation. Laparotomy, bladder repair with antibiotics cover and indwelling catheter constitutes the basis of a successful outcome.