IMR Press / CEOG / Volume 44 / Issue 6 / DOI: 10.12891/ceog3791.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
A case of spontaneous bladder rupture following vaginal delivery in a mutilated woman
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1 Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey
2 Department of General Surgery,Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey
3 Department of Maternal Fetal Medicine, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey
4 Department of Gyneccologic Oncology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey
Clin. Exp. Obstet. Gynecol. 2017, 44(6), 941–943; https://doi.org/10.12891/ceog3791.2017
Published: 10 December 2017
Abstract

Background: Female genital mutilation/cutting (FGM/C) is applied to more than 130 million women in the world with long-term complications of pain, dyspareunia, difficulty in urination, recurrent urinary tract infection, vesicovaginal fistula, and obstetric morbidities. The authors present a case of spontaneous bladder rupture following vaginal delivery in a genital mutilated pregnant woman, which has not been reported in the literature previously. Case Report: A 31-year old age primigravid woman presented on postpartum 6th day with abdominal distention, ileus, dyspnea, and acute renal failure. After physical and radiological examination with laboratory analysis the initial diagnosis was intra-abdominal sepsis. During laparotomy, disseminated abscess formation and massive urinary leakage from ruptured bladder wall was observed. After bladder repair, open abdomen procedure was performed to control abdominal infection. Vacuum- assisted closure therapy was applied as a temporary abdominal closure method. The patient was discharged from the hospital with no complications on the 14th day. Conclusion: This case report shows that genital mutilation can lead to genitourinary system injuries and is one of the etiologic factors of spontaneous bladder rupture during vaginal delivery.
Keywords
Female genital mutilation
Genitourinary system injuries
Spontaneous bladder rupture
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