Cesarean Section Complications Followed by Bladder Cystotomy and Gross Hematuria Due to Unknown Dense Scar Tissue

Division

South Atlantic

Hospital

Grand Strand Medical Center

Document Type

Case Report

Publication Date

12-4-2020

Keywords

hematuria, scar tissue, cesarean, bladder reconstruction, scar dehiscence

Disciplines

Family Medicine | Female Urogenital Diseases and Pregnancy Complications | Obstetrics and Gynecology | Surgical Procedures, Operative

Abstract

Adhesions formed from previous Cesarean section (C-section) are a significant risk factor for bladder injury. We present a case of a 43-year-old pregnant woman who underwent a C-section and experienced severe complications due to adhesions and incisional dehiscence from a previous Cesarean delivery 11 years earlier. Several surgical and non-surgical interventions as radiologic tests, cystotomy, blood transfusion, cystogram, and others were necessary to resolve the issues followed by the Cesarean delivery. It is important for clinicians caring for women undergoing both primary and subsequent Cesarean sections to consider and mitigate risk factors for adhesion development.

Publisher or Conference

Cureus

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