• J Reprod Med · Mar 2000

    Case Reports

    Bladder rupture associated with uterine rupture. A report of two cases occurring during vaginal birth after cesarean.

    • E V Forsnes, J E Browning, and R B Gherman.
    • Department of Obstetrics and Gynecology, Naval Hospital Camp Lejeune, Jacksonville, North Carolina, USA.
    • J Reprod Med. 2000 Mar 1; 45 (3): 240-2.

    BackgroundUterine rupture occurs in < 1% of patients undergoing a trial of labor after cesarean section. Associated injury to adjacent organs within the maternal pelvis has likewise been very rarely reported.CaseTwo cases of posterior bladder wall rupture occurred in association with rupture of low transverse uterine incisions.ConclusionBladder rupture may be associated with uterine rupture during attempted vaginal birth after cesarean. The potential for bladder injury should be included in the patient's antepartum counseling.

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