Case Report: Rare bladder injury during cesarean section

Document Type : Case Report


1 Department of Urology, Tehran University of Medical Sciences, Tehran, Iran

2 Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran

3 Mashhad University of Medical Sciences, Mashhad, Iran



Bladder injury is an urgent emergency case requiring urgent treatment. Here we present a 38-year-old woman with a history of primary infertility with a twin pregnancy following IVF. Because of the high adhesion, the anterior wall of the bladder cut transversely instead of the anterior wall of the uterus. In this case of twin cesarean section, the anterior wall, posterior wall, and uterine wall were opened. The twins removed from the bladder by two incisions and then posterior and anterior wall of the bladder were repaired by an expert urologist as well as uterus followed by medication by anticholinergic and antibiotics. This case report emphasizes on the essential roles of bladder emergency repair in restoring the normal function of the urinary system. Bladder injury is the most common complication during gyneco-genital surgery. Most of this damage is intraperitoneal that need repair during the surgery and prolonged bladder catheterization.