@article{10.11648/j.wjmcr.20220304.11,
  author = {Smith Giscard Olagui and Mariette Nsa Bidzo and Christelle Mezene and Crepin Olende and Jean Placide Owono Bouengou},
  title = {Management of a Bladder Wound During a Cesarean Section: A Case Report at Urology Service in the Military Hospital OBO},
  journal = {World Journal of Medical Case Reports},
  volume = {3},
  number = {4},
  pages = {46-49},
  doi = {10.11648/j.wjmcr.20220304.11},
  url = {https://doi.org/10.11648/j.wjmcr.20220304.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20220304.11},
  abstract = {Introduction: Bladder wounds are classic complications of gyneco-obstetric surgery. They remain rare given the considerable number of operations performed. The effectiveness of the treatments is directly proportional to the precocity of the diagnosis. Peroperative diagnosis allows direct repair of these lesions. The treatment remains surgery. Our goal is to present our emergency care, from diagnosis to treatment. Observation: 37-year-old patient, G4P3, including 2 caesarean sections, BMI 28, irregular follow-up, with anterior placenta previa percreta, who presented in an early labor picture at 38 WA+4d. the indication for a caesarean section was formal. During the caesarean section, the pfannenstiel incision allowed the emergency extraction of the fetus, and the intraoperative discovery of a large wound in the bladder. A closure in 2 muscular and serous planes had been carried out. The suites had been simple. postoperative follow-up at 1 and 3 months was normal. Discussion: The bladder is an intra and extra peritoneal organ, placed directly in front of the uterus, a seat that makes it exposed to lesions at the time of cesarean sections. The indications for cesareans are increasing. Our patient was carrying a placenta previa percreta on a bi-scarred uterus, arriving in labor, all risk factors for a possible bladder injury. Emergency caesarean section is responsible for 31% of bladder damage. The treatment is direct suture on a bladder probe for 15 to 21 days. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.},
 year = {2022}
}

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TY  - JOUR
T1  - Management of a Bladder Wound During a Cesarean Section: A Case Report at Urology Service in the Military Hospital OBO
AU  - Smith Giscard Olagui
AU  - Mariette Nsa Bidzo
AU  - Christelle Mezene
AU  - Crepin Olende
AU  - Jean Placide Owono Bouengou
Y1  - 2022/11/23
PY  - 2022
N1  - https://doi.org/10.11648/j.wjmcr.20220304.11
DO  - 10.11648/j.wjmcr.20220304.11
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 46
EP  - 49
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20220304.11
AB  - Introduction: Bladder wounds are classic complications of gyneco-obstetric surgery. They remain rare given the considerable number of operations performed. The effectiveness of the treatments is directly proportional to the precocity of the diagnosis. Peroperative diagnosis allows direct repair of these lesions. The treatment remains surgery. Our goal is to present our emergency care, from diagnosis to treatment. Observation: 37-year-old patient, G4P3, including 2 caesarean sections, BMI 28, irregular follow-up, with anterior placenta previa percreta, who presented in an early labor picture at 38 WA+4d. the indication for a caesarean section was formal. During the caesarean section, the pfannenstiel incision allowed the emergency extraction of the fetus, and the intraoperative discovery of a large wound in the bladder. A closure in 2 muscular and serous planes had been carried out. The suites had been simple. postoperative follow-up at 1 and 3 months was normal. Discussion: The bladder is an intra and extra peritoneal organ, placed directly in front of the uterus, a seat that makes it exposed to lesions at the time of cesarean sections. The indications for cesareans are increasing. Our patient was carrying a placenta previa percreta on a bi-scarred uterus, arriving in labor, all risk factors for a possible bladder injury. Emergency caesarean section is responsible for 31% of bladder damage. The treatment is direct suture on a bladder probe for 15 to 21 days. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.
VL  - 3
IS  - 4
ER  - 

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