Spontaneous bladder rupture: Laparoscopic management of rare complications after nontraumatic vaginal delivery.

Modina, Patricio; Vidal, Leandro; David, Carlos I; Leal, Conrado; Escowich, Ricardo; Bergero, Miguel A

Introduction Spontaneous bladder rupture is a rare condition, especially after a nontraumatic vaginal delivery. Case presentation A 32-year-old patient who had had a nontraumatic vaginal delivery presented to the emergency room with abdominal pain and anuria. Computed tomography showed free fluid in the peritoneal cavity. An exploratory laparoscopy revealed a perforation on the bladder dome that was laparoscopically sutured. Conclusion In the presence of an acute abdominal pain with free fluid in the peritoneal cavity after a nontraumatic vaginal delivery, a differential diagnosis should be a spontaneous rupture of the bladder.