Case Report- Spontaneous rupture of urinary bladder in puerperium

We report a case of spontaneous rupture of urinary bladder during normal vaginal delivery in a primigravida, who presented with huge ascites, oliguria and renal failure 3 days after delivery. Abdominal paracentesis and CT cystography diagnosed intraperitoneal rupture of urinary bladder. The rent was repaired in layers. In the follow-up cystoscopy and the cystography showed the lesion healed completely. This is totally preventable condition if adequate precaution is taken in the form of evacuating the bladder before the patient goes to second stage of labour.