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Year : 2012  |  Volume : 28  |  Issue : 3  |  Page : 338-339

Complete urethrovesical disruption following obstructed labor

1 Department of Obstetrics, Gynecology, Government Medical College and Hospital, Chandigarh, Punjab, India
2 Department of Surgery, Government Medical College and Hospital, Chandigarh, Punjab, India

Correspondence Address:
S Arora
Department of Obstetrics and Gynecology, Government Medical College and Hospital, Sector 32 B, Chandigarh, Punjab, - 160 090
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.102719

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A 22-years-old lady presented with obstructed labor with a probable preoperative diagnosis of bladder/urethral injury. When a laparotomy was performed there was a complete urethral disruption at the vesicourethral junction with a big anterior forniceal tear in the vagina with intact uterus and cervix. The fetus had pushed itself through the upper vagina and bladder neck into the extraperitoneal space leading to complete urethrovesical disruption as a result of prolonged pressure on the vesicourethral junction against pubic symphysis for which an end to end anastomosis was performed. Although trauma has been mentioned as a cause of such urethral disruption in the literature, no such case has been reported so far following obstructed labor. A brief discussion of various surgical options for such cases is discussed.

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