TWINS DELIVERY VIA AN INADVERTENT TRANSVESICAL UTERINE SECTION: A CASE REPORT

Intraperitoneal bladder trauma is considered a urological emergency that needs prompt diagnosis and
treatment. Emergency transvesical uterine section was carried out to deliver twins of a 35 year old
woman in 33rd gestational age diagnosed as a case of preterm labor. Inadvertent long anterior and
posterior transverse bladder openings were done before entering the uterus and both fetuses were
delivered through the bladder. The injury repaired immediately with suprapubic and urethral
catheterization. Six months after repairment, the patient is voiding normally. To the best of our
knowledge, transvesical uterine section for delivery reported very rarely. Prompt repair of such
extended bladder trauma has a significant role in the restoring of the normal bladder function.