Surgical management of spontaneous post-partum bladder rupture in an Amazonian emergency hospital

Francisco Marcos da Silva Barroso; Carolina Augusta Dorgam Maués; Gustavo Lopes de Castro; Roger Arthur da Cunha Alves; Enny Luana Carmo de Vasconcelos; José Paulo Guedes Saint Clair

doi:10.1016/j.eucr.2020.101376

Surgical management of spontaneous post-partum bladder rupture in an Amazonian emergency hospital

Urol Case Rep. 2020 Nov:33:101376. doi: 10.1016/j.eucr.2020.101376. Epub 2020 Aug 24.

Authors

Francisco Marcos da Silva Barroso¹, Carolina Augusta Dorgam Maués², Gustavo Lopes de Castro³, Roger Arthur da Cunha Alves⁴, Enny Luana Carmo de Vasconcelos⁵, José Paulo Guedes Saint Clair⁵

Affiliations

¹ Urology Service at Hospital e Pronto-Socorro 28 de Agosto: Avenida Mário Ypiranga, 1581, Adrianópolis, Manaus, Amazonas, 69057-000, Brazil.
² Digestive Tract Surgery Service at Hospital e Pronto-Socorro 28 de Agosto: Avenida Mário Ypiranga, 1581, Adrianópolis, Manaus, Amazonas, 69057-000, Brazil.
³ Faculty of Medicine of the Federal University of Amazonas (UFAM): Rua Afonso Pena, 1053, Praça 14 de Janeiro, Manaus, Amazonas, 69020-160, Brazil.
⁴ Urology Service at Getúlio Vargas University Hospital (HUGV): Avenida Apurinã, 4 - Praça 14 de Janeiro, Manaus, Amazonas, 69020-170, Brazil.
⁵ General Surgery Service at Getúlio Vargas University Hospital (HUGV): Avenida Apurinã, 4 - Praça 14 de Janeiro, Manaus, Amazonas, 69020-170, Brazil.

Abstract

Spontaneous rupture of the urinary bladder (SRUB) is a rare urological emergency and even more uncommon in the puerperium. Post-partum bladder rupture might be associated with fetal pressure on the not emptied bladder wall during labor. We report a case of SRUB three days after normal vaginal delivery with high values of creatinine and absence of hematuria, surgically managed in an emergency hospital in the Amazon.

Keywords: Amazon; Bladder rupture; Post-partum; Urology.

Publication types

Case Reports