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An interesting case of abdominal distension and oliguria in postpartum period

A 26-year-old female presented with progressive abdominal distension and oliguria in puerperal period. Diagnosis of spontaneous intraperitoneal rupture of bladder following normal vaginal delivery was made based on the clinical and radiological features. Computed tomography (CT) cystogram suggested the rents in the dome and posterior wall of the urinary bladder and the defects were repaired. She developed multiple complications such as urinary tract infection, sepsis, bacterial peritonitis, and intestinal adhesions. In the presence of large urinary ascites, oliguria, and renal failure in puerperal period, bladder rupture should be considered. Emergency physician should establish the diagnosis early and urgent operative repair has to be performed to reduce complications and morbidity. The following core competencies are addressed in this article: Medical knowledge, patient care.