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Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (6): 941-943    DOI: 10.12891/ceog3791.2017
Case Report Previous articles | Next articles
A case of spontaneous bladder rupture following vaginal delivery in a mutilated woman
S. Guler Cekic1, *(), S.C. Ulukent2, G. Yetkin Yildirim1, A. Corbacioglu Esmer3, A. Akca1, A. Kublay4
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
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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.
Key words:  Female genital mutilation      Genitourinary system injuries      Spontaneous bladder rupture     
Published:  10 December 2017     
*Corresponding Author(s):  S. GULER CEKIC     E-mail:  sebileguler@gmail.com

Cite this article: 

S. Guler Cekic, S.C. Ulukent, G. Yetkin Yildirim, A. Corbacioglu Esmer, A. Akca, A. Kublay. A case of spontaneous bladder rupture following vaginal delivery in a mutilated woman. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(6): 941-943.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3791.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I6/941

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