Introduction: Bladder wounds are classic complications of gyneco-obstetric surgery. They remain rare given the considerable number of operations performed. The effectiveness of the treatments is directly proportional to the precocity of the diagnosis. Peroperative diagnosis allows direct repair of these lesions. The treatment remains surgery. Our goal is to present our emergency care, from diagnosis to treatment. Observation: 37-year-old patient, G4P3, including 2 caesarean sections, BMI 28, irregular follow-up, with anterior placenta previa percreta, who presented in an early labor picture at 38 WA+4d. the indication for a caesarean section was formal. During the caesarean section, the pfannenstiel incision allowed the emergency extraction of the fetus, and the intraoperative discovery of a large wound in the bladder. A closure in 2 muscular and serous planes had been carried out. The suites had been simple. postoperative follow-up at 1 and 3 months was normal. Discussion: The bladder is an intra and extra peritoneal organ, placed directly in front of the uterus, a seat that makes it exposed to lesions at the time of cesarean sections. The indications for cesareans are increasing. Our patient was carrying a placenta previa percreta on a bi-scarred uterus, arriving in labor, all risk factors for a possible bladder injury. Emergency caesarean section is responsible for 31% of bladder damage. The treatment is direct suture on a bladder probe for 15 to 21 days. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.
| Published in | World Journal of Medical Case Reports (Volume 3, Issue 4) |
| DOI | 10.11648/j.wjmcr.20220304.11 |
| Page(s) | 46-49 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Cesarean, Injury, Bladder
| [1] | Tarney CM. Bladder Injury During Cesarean Delivery. Curr Womens Health Rev. 2013; 9 (2): 70-76. |
| [2] | Albukhari SN, Khawaji A, Azhar RA. Non-Operative Management of Iatrogenic Intraperitoneal Bladder Injury Following a Cesarean Section. Cureus. 2021 Feb 5; 13 (2): e13150. |
| [3] | Chill HH, Karavani G, Reuveni-Salzman a et al. Urinary bladder injury during cesarean delivery: risk factors and the role of retrograde bladder filling. Int Urogynecol J. 2021 Jul; 32 (7): 1801-1806. |
| [4] | Manidip P, Soma B. Cesarean bladder injury - obstetrician's nightmare. J Family Med Prim Care. 2020 Sep 30; 9 (9): 4526-4529. |
| [5] | American College of Obstetricians and Gynecologists. Surgery and patient choice: the ethics of decision-making. Opinion of the committee ACOG No. 289. Obstet Gynecol. 2003; 102: 1101-6. |
| [6] | MacDorman MF, Menacker F, Declercq E. Cesarean birth in the United States: epidemiology. Trends and results. Clin Perinatol. 2008; 35: 293-307. |
| [7] | Salman L, Aharony S, Shmueli A et al. Urinary bladder injury during cesarean delivery: Maternal outcome from a contemporary large case series. Eur J Obstet Gynecol Reprod Biol. 2017 Jun; 213: 26-30. |
| [8] | Rahman MS, Gasem T, Al Suleiman SA et al. Bladder injuries during cesarean section in a University Hospital: a 25-year review. Arch Gynecol Obstet. 2009 Mar; 279 (3): 349-52. |
| [9] | Korniluk A, Kosiński P, Wielgoś M. Intraoperative damage to the urinary bladder during cesarean section - literature review. Ginekol Pol. 2017; 88 (3): 161-165. |
| [10] | Aghaways I, Bapir R, Hawrami TA, Thahir NM, Al Kadum Hassan MA, Salih Hassan KM. Conservative management of delayed presentation of intraperitoneal bladder rupture following caesarean delivery: A case report. Int J Surg Case Rep. 2019; 59: 31-34. |
| [11] | Matsumura Y, Iemura Y, Fukui S, Kagebayashi Y, Samma S. [Iatrogenic Injuries of Urinary Tract: Outcomes of Surgical Repairs]. Hinyokika Kiyo. 2018 Mar; 64 (3): 95-99. |
| [12] | Japanese ocolov DG, Carauleanu A, Boiculese L, Scripcariu SI, Costache RC. Risk Factors for Urological Complications Associated with Caesarean Section-A Case-Control Study. Medicina (Kaunas). 2022 Jan 14; 58 (1): 123. |
| [13] | Bouya P. A., Odzébé A. W., Otiobanda F. G., Itoua C., Mahoungou-Guimbi K., Banga M. R., Andzin M., Ondongo-Atipo M., Ondzel S., Avala P. Urological complications of gynecologic surgery. Prog. Urol. 2011; 21: 875–878. |
| [14] | Phipps M. G., Watabe B., Clemons J. L., Weitzen S., Myers D. L. Risk factors for bladder injury during cesarean delivery. Obstet. Gynecol. 2005; 105: 156–160. |
| [15] | Ibrahim N, Spence AR, Czuzoj-Shulman N, Abenhaim HA. Incidence and risk factors of bladder injury during cesarean delivery: a cohort study. Arch Gynecol Obstet. 2022 Mar 27. |
| [16] | Zelivianskaia AS, Bradley SE, Morozov VV. Best practices for repair of iatrogenic bladder injury. AJOG Glob Rep. 2022 Jun 7; 2 (3): 100062. |
APA Style
Smith Giscard Olagui, Mariette Nsa Bidzo, Christelle Mezene, Crepin Olende, Jean Placide Owono Bouengou. (2022). Management of a Bladder Wound During a Cesarean Section: A Case Report at Urology Service in the Military Hospital OBO. World Journal of Medical Case Reports, 3(4), 46-49. https://doi.org/10.11648/j.wjmcr.20220304.11
ACS Style
Smith Giscard Olagui; Mariette Nsa Bidzo; Christelle Mezene; Crepin Olende; Jean Placide Owono Bouengou. Management of a Bladder Wound During a Cesarean Section: A Case Report at Urology Service in the Military Hospital OBO. World J. Med. Case Rep. 2022, 3(4), 46-49. doi: 10.11648/j.wjmcr.20220304.11
AMA Style
Smith Giscard Olagui, Mariette Nsa Bidzo, Christelle Mezene, Crepin Olende, Jean Placide Owono Bouengou. Management of a Bladder Wound During a Cesarean Section: A Case Report at Urology Service in the Military Hospital OBO. World J Med Case Rep. 2022;3(4):46-49. doi: 10.11648/j.wjmcr.20220304.11
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Download@article{10.11648/j.wjmcr.20220304.11,
author = {Smith Giscard Olagui and Mariette Nsa Bidzo and Christelle Mezene and Crepin Olende and Jean Placide Owono Bouengou},
title = {Management of a Bladder Wound During a Cesarean Section: A Case Report at Urology Service in the Military Hospital OBO},
journal = {World Journal of Medical Case Reports},
volume = {3},
number = {4},
pages = {46-49},
doi = {10.11648/j.wjmcr.20220304.11},
url = {https://doi.org/10.11648/j.wjmcr.20220304.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20220304.11},
abstract = {Introduction: Bladder wounds are classic complications of gyneco-obstetric surgery. They remain rare given the considerable number of operations performed. The effectiveness of the treatments is directly proportional to the precocity of the diagnosis. Peroperative diagnosis allows direct repair of these lesions. The treatment remains surgery. Our goal is to present our emergency care, from diagnosis to treatment. Observation: 37-year-old patient, G4P3, including 2 caesarean sections, BMI 28, irregular follow-up, with anterior placenta previa percreta, who presented in an early labor picture at 38 WA+4d. the indication for a caesarean section was formal. During the caesarean section, the pfannenstiel incision allowed the emergency extraction of the fetus, and the intraoperative discovery of a large wound in the bladder. A closure in 2 muscular and serous planes had been carried out. The suites had been simple. postoperative follow-up at 1 and 3 months was normal. Discussion: The bladder is an intra and extra peritoneal organ, placed directly in front of the uterus, a seat that makes it exposed to lesions at the time of cesarean sections. The indications for cesareans are increasing. Our patient was carrying a placenta previa percreta on a bi-scarred uterus, arriving in labor, all risk factors for a possible bladder injury. Emergency caesarean section is responsible for 31% of bladder damage. The treatment is direct suture on a bladder probe for 15 to 21 days. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.},
year = {2022}
}
TY - JOUR T1 - Management of a Bladder Wound During a Cesarean Section: A Case Report at Urology Service in the Military Hospital OBO AU - Smith Giscard Olagui AU - Mariette Nsa Bidzo AU - Christelle Mezene AU - Crepin Olende AU - Jean Placide Owono Bouengou Y1 - 2022/11/23 PY - 2022 N1 - https://doi.org/10.11648/j.wjmcr.20220304.11 DO - 10.11648/j.wjmcr.20220304.11 T2 - World Journal of Medical Case Reports JF - World Journal of Medical Case Reports JO - World Journal of Medical Case Reports SP - 46 EP - 49 PB - Science Publishing Group SN - 2994-726X UR - https://doi.org/10.11648/j.wjmcr.20220304.11 AB - Introduction: Bladder wounds are classic complications of gyneco-obstetric surgery. They remain rare given the considerable number of operations performed. The effectiveness of the treatments is directly proportional to the precocity of the diagnosis. Peroperative diagnosis allows direct repair of these lesions. The treatment remains surgery. Our goal is to present our emergency care, from diagnosis to treatment. Observation: 37-year-old patient, G4P3, including 2 caesarean sections, BMI 28, irregular follow-up, with anterior placenta previa percreta, who presented in an early labor picture at 38 WA+4d. the indication for a caesarean section was formal. During the caesarean section, the pfannenstiel incision allowed the emergency extraction of the fetus, and the intraoperative discovery of a large wound in the bladder. A closure in 2 muscular and serous planes had been carried out. The suites had been simple. postoperative follow-up at 1 and 3 months was normal. Discussion: The bladder is an intra and extra peritoneal organ, placed directly in front of the uterus, a seat that makes it exposed to lesions at the time of cesarean sections. The indications for cesareans are increasing. Our patient was carrying a placenta previa percreta on a bi-scarred uterus, arriving in labor, all risk factors for a possible bladder injury. Emergency caesarean section is responsible for 31% of bladder damage. The treatment is direct suture on a bladder probe for 15 to 21 days. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication. VL - 3 IS - 4 ER -
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