4.8 (699) · $ 29.50 · In stock
BACKGROUND: Intrauterine bladder rupture is a rare complication usually caused by structural bladder outlet obstruction. Some medications are known to cause urinary retention or diuresis in fetuses and preterm infants. CASE: A 31-year-old gravida 6, para 3023 at 29 weeks and 2 days’ gestation required intubation, mechanical ventilation, and medical management for severe chest pain and respiratory failure, eventually diagnosed as asthma and pneumonia. An obstetrical ultrasound on hospital day three revealed a markedly dilated fetal bladder. Repeat ultrasound the following day showed a decompressed fetal bladder and significant ascites. A cesarean delivery was performed for a nonreassuring fetal heart rate. Postnatal evaluation by voiding cystourethrogram and cystoscopy revealed bladder rupture without evidence of outlet obstruction. Given the absence of other plausible causes, the rupture was likely due to exposure to maternal medications. CONCLUSION: Transplacental exposure to maternal medications may cause fetal urinary retention and intrauterine bladder rupture. Fetal ultrasound surveillance during treatment with medications known to cause urinary retention may allow for early diagnosis and intervention.
A very rare fetal complication due to obstructive uropathy - ScholarMD
Urinary effects of morphine in preterm infants
Trauma in Pregnancy: Causes and Types
A very rare fetal complication due to obstructive uropathy - ScholarMD
Graphical presentation of the median and 25th and 75th percentiles
Urinary effects of morphine in preterm infants
Trans-abdominal in vivo placental vessel occlusion using High Intensity Focused Ultrasound
Drug-Induced Urolithiasis in Pediatric Patients
Uterine Incarceration: Rare Cause of Urinary Retention in Healthy Pregnant Patients - The Western Journal of Emergency Medicine
Case 36-2006 — A 35-Year-Old Pregnant Woman with New Hypertension
JPM, Free Full-Text
Collapsed urinary bladder. The urinary bladder is relat
Antioxidants, Free Full-Text
PDF) Medication induced fetal bladder rupture: a case report
PDF) Exposure to biological maternal sounds improves