Case Report

Late second stage rupture of the uterus and bladder with vaginal birth after cesarean section: A case report and review of the literature†

  1. Joel C. Webb1,*,
  2. George Gilson1,
  3. Lakshmi Gordon2

Article first published online: 15 FEB 2001

DOI: 10.1002/1520-6661(200011/12)9:6<362::AID-MFM1009>3.0.CO;2-T

Issue

The Journal of Maternal‐Fetal Medicine

The Journal of Maternal-Fetal Medicine

Volume 9, Issue 6, pages 362–365, November/December 2000

Additional Information

How to Cite

Webb, J. C., Gilson, G. and Gordon, L. (2000), Late second stage rupture of the uterus and bladder with vaginal birth after cesarean section: A case report and review of the literature. J. Matern. Fetal Med., 9: 362–365. doi: 10.1002/1520-6661(200011/12)9:6<362::AID-MFM1009>3.0.CO;2-T

Author Information

  1. 1

    Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico

  2. 2

    Department of Obstetrics and Gynecology, Womack Army Medical Center, Fort Bragg, North Carolina

*Department OB GYN, 2211 Lomas Boulevard NE, Albuquerque, NM 87131

  1. †

    The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or Department of Defense

Publication History

  1. Issue published online: 15 FEB 2001
  2. Article first published online: 15 FEB 2001
  3. Manuscript Accepted: 28 JUN 2000
  4. Manuscript Revised: 20 JUN 2000
  5. Manuscript Received: 6 APR 2000

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Keywords:

  • uterine rupture;
  • bladder laceration;
  • VBAC

Abstract

Rupture of a uterine scar during labor with concomitant severe injury to the maternal bladder has been reported sporadically. Previously reported cases have been diagnosed under a variety of conditions, commonly at the time of repeat Cesarean delivery. A case of maternal bladder rupture diagnosed following forceps-assisted vaginal delivery after Cesarean is presented. Severe bradycardia developed suddenly in the second stage of labor. Rupture of the uterine scar was diagnosed after sudden onset of severe lower abdominal pain with delivery of the placenta. At laparotomy, extensive injury to the bladder was found and successful repair of both injuries was performed. A review of previously reported similar cases with their mechanism of injury and presentation is presented. Serious maternal bladder injury at the time of uterine rupture remains a risk of attempted vaginal delivery after prior Cesarean section. J. Matern.-Fetal Med. 2000;9:362–365. © 2000 Wiley-Liss, Inc.

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