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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905
EISSN: 1680-6905
Vol. 4, No. 2, 2004, pp. 136-138
Bioline Code: hs04025
Full paper language: English
Document type: Research Article
Document available free of charge

African Health Sciences, Vol. 4, No. 2, 2004, pp. 136-138

 en Spontaneous Rupture of Bladder in Puerperium
Wandabwa, Julius; Otim, Tom & Kiondo, Paul


Spontaneous rupture of bladder and ex-travasation of urine in the peritoneum without evidence of trauma is rare. This condition is an emergency. It presents in a unique way therefore, the diagnosis and treatment is usually delayed. This patient presented with an acute abdominal pain and oliguria. She had delivered normally eight days before re-admission. Investigations were done and an exploratory laparotomy was performed. There was a tear in the fundus of the bladder and the peritoneal cavity contained urine. Peritoneal lavage was done and the bladder was repaired in layers. She was put on continuous bladder drainage for three weeks followed by bladder training. The bladder resumed its normal function. Early diagnosis and appropriate management decreases the morbidity and mortality associated with this condition.

© Copyright 2004 - Makerere Medical School, Uganda

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