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Case Report | Medical Surgical | Volume 15 Issue 6, June 2026 | Pages: 479 - 481 | India
An Obstetrical Blunder: A Rare Case of Transvesical Delivery
Abstract: Background: Bladder injury is a rare but recognized complication of cesarean section, occurring more frequently during emergency, 2nd stage and previous cesarean. Early recognition and prompt repair are essential to prevent significant morbidity. Case Presentation: A 37-year-old G3P2L2 woman at 40 weeks of gestation underwent emergency cesarean section for obstructed labour. Intraoperatively, an extensive bladder injury identified, and the patient was referred to our tertiary care center. On exploration, a 7-8 cm rent involving both the anterior and posterior bladder walls was identified, with the Foley catheter bulb visible in the operative field. The bladder was not separated from lower uterine segment, and the uterine incision was inadequately repaired. Following separation of the bladder from the uterus, the uterine incision was repaired. Bilateral ureterovesical junctions were identified and protected with DJ stents. The bladder was reconstructed in multiple layers, a suprapubic catheter was placed, and paravesical drainage was established. Postoperatively, antibiotic therapy, urethral and suprapubic catheters were maintained for three weeks, resulting in satisfactory recovery. Conclusion: In cases of second-stage cesarean section or obstructed labour, careful identification of the bladder and complete emptying of the bladder can help prevent severe bladder injury. Early diagnosis, multidisciplinary management, and meticulous surgical repair are crucial for successful outcomes in cases of extensive bladder injury complicating cesarean section.
Keywords: Cesarean section, Obstructed labour, Bladder injury
How to Cite?: Samashti Gupta, Shaveta Jain, "An Obstetrical Blunder: A Rare Case of Transvesical Delivery", Volume 15 Issue 6, June 2026, International Journal of Science and Research (IJSR), Pages: 479-481, https://www.ijsr.net/getabstract.php?paperid=MR26608192636, DOI: https://dx.dx.doi.org/10.21275/MR26608192636