Mysterious Intermittent Hematuria after Caesarean Delivery: Case Report and Comprehensive Review
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Abstract
Background
Caesarean delivery is a cornerstone of obstetrics; its rate is likely to increase due to decreasing rates of vaginal birth after caesarean section (VBAC) and primary cesarean delivery on maternal request, which carries the inherent risk for intraoperative complications. Incidence of urinary bladder injury during primary caesarean section is about 0.2% and during repeat caesarean section is about 0.6% [1]. Risk factors for bladder injury during cesarean section include prolonged labor, scarred uterus (previous caesarean section, myomectomy, D&C), intraabdominal adhesions, emergency caesarean section, advanced labor, caesarean hysterectomy, etc. Most bladder injuries are recognized at the time of surgery, which is important, as quick recognition and repair are associated with a significant reduction in patient mortality. Here, we report a delayed recognition of iatrogenic bladder injury in a post-caesarean patient with intermittent hematuria. She ultimately underwent laparotomy followed by bladder repair.
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Nasreen Noor, Jnmch,AMU, Aligarh
professor
Department of Obstetrics and Gynaecology
Sahana S.M, Jnmch,AMU, Aligarh
Senior Resident
Department of Obstetrics and Gynaecology
Shazia Parveen
Assistant professor
Department of Obstetrics and Gynaecology
Manzoor Ahmad
Assistant professor
Department of Surgery
Abu Nadeem, Jnmch,AMU, Aligarh
Professor
Department of anesthesiology and critical care
Priyanka Sharma, Jnmch,AMU, Aligarh
Junior resident lll
Department of Obstetrics and Gynaecology
Zakia Almas, Jnmch,AMU, Aligarh
Junior resident ll
Department of obstetrics and Gynaecology
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