Abstract :
We report an uncommon case of postpartum women, who presented to us 20 days after a normal delivery
with anuria, abdominal pain & distension, huge ascites and renal failure. Which on evaluation and
emergency laparotomy was found to be due an intraperitoneal tear of bladder probably that has happened
during a vaginal delivery with a full bladder. Purulent urine in the peritoneal cavity was suctioned, a
thorough lavage was done and the tear in the dome of the bladder was repaired with vicryl 3.0 in 2 layer
followed which she was kept on continous drainage of bladder for 3 wks. This is an absolutely preventable
condition, provided proper care was taken in second stage by emptying the bladder. High index of suspicion
and prompt diagnosis could have reduced the suffering, psychological trauma, financial burden and most
importantly the morbidity in this case.
Keyword :
Bladder rupture, Urinary ascites, Vaginal delivery, Bladder repair, Puerperium.