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J Korean Soc Emerg Med > Volume 18(4); 2007 > Article
Journal of The Korean Society of Emergency Medicine 2007;18(4): 346-350.
A Case of Bladder Rupture after Normal Vaginal Delivery
Seung Min Park, Kang Hyun Lee, Kyung Hwe Park, Yong Su Chang, Hyun Kim, Sung Oh Hwang
Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea. ed119@yonsei.ac.kr
Spontaneous rupture of the bladder is usually associated with a history of recent trauma, instrument injury, or existing bladder disease. However, there are also occasional reports of bladder rupture associated with pregnancy, most of which are complications of cesarean section. However, spontaneous bladder rupture following normal vaginal delivery is very rare. Patients with bladder rupture need a rapid, sensitive diagnosis and treatment because of a high risk of mortality and morbidity. We report a case of bladder rupture after normal vaginal delivery, which was successfully managed. A patient with small bladder rupture and ascites after normal vaginal delivery was treated by urethral catheterization and use of antibiotics, without operation.
Key words: Bladder diseases, Obstetric delivery, Urinary bladder fistula
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