INTRAPERITONEAL BLADDER RUPTURE DUE TO NORMAL LABOR

Case report
Guruh Laut Suhartono1, Jufriady Ismy2
1.
2.

Surgery resident, Dept of Surgery, Faculty of Medicine, Syiah Kuala University, Zainoel Abidin General Hospital, Banda Aceh.
Urology division, Dept of Surgery, Faculty of Medicine, Syiah Kuala University, Zainoel Abidin General Hospital, Banda Aceh.

ABSTRACT

INTRODUCTION
Intraperitoneal bladder rupture is extremely rare. Patient usually presents with peritonitis and the condition is revealed
during operation. The morbidity and mortality is quite high, reaching 80%. Exploratory laparotomy is performed for surgical
repair. There has not any data on the incidence of intraperitoneal bladder rupture due to normal labor.
CASE REPORT
Female, 23 years old was referred to our hospital with abdominal distention, pain in the whole abdomen since 6 days before,
catheter was put with minimal purulent urine. Physical examination suggested for peritonitis. Ultrasound examination
showed masive intraperitoneal fluid and bladde with internal echo. Air fluid level and ground glass appearance were found
in abdominal x-ray. The diagnose of peritonitis due to bladder rupture was established. Emergency laparotomy was
performed. Bladder rupture grade IV (dome and psterior wall of the bladder) was recognised intraoperatively. Bladder repair
was carried out.
CONCLUSION
Intraperitoneal bladder rupture is a serious condition. The main treatment is emergency laparotomy. Operative succes rate is
high. Early diagnosis and prompt adequate traetment according to types of rupture is the key point of succesful management
in this condition.
KEYWORDS: peritonitis, bladder rupture, laparatomy