Publication:

A rare case report of rupture uterus with full fetus in bladder

Uterine rupture is the primary concern when a patient chooses a trial of labour after a caesarean section. Bladder rupture accompanied by uterine rupture should be taken into consideration if gross haematuria occurs. We report the case of a patient with uterine rupture during a trial of labour after cesarean delivery. Her course of labour went into obstructed labour and failed forceps delivery for which she was referred to our tertiary care hospital. Intra -operatively she was found to be a case of rupture uterus with rupture of bladder and full fetus lying in the bladder which was delivered by giving incision on the anterior bladder wall. Patient had subtotal hysterectomy with repair of bladder done with suprapubic cystostomy. Her postoperative recovery was uneventful.  Bladder injury and uterine rupture can occur at any time during labour. Gross haematuria immediately after delivery is the most common presentation. The incidence of rupture uterus and associated bladder injury is on increase due to higher rates of caesarean section. But there are no case reports on full fetus inside the bladder, so it is justified to report this case.