Urinary Bladder Calculus as a Rare Cause of Obstructed Labour: A Series of Three Rare Cases
Published: October 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/57568.16983
Punya Pratap Singh, Jagrati Kiran Nagar, Kavita Gahlot, Omkar Thakur, Bheekam Patel
1. Associate Professor and Head, Department of Radiodiagnosis, Bundelkhand Medical College, Sagar, Madhya Pradesh, India.
2. Associate Professor, Department of Obstetrics and Gynaecology, Bundelkhand Medical College, Sagar, Madhya Pradesh, India.
3. Obstetrician and Gynecologist, Department of Obstetrics and Gynaecology, Ayushman Hospital, Sagar, Madhya Pradesh, India.
4. Assistant Professor, Department of Surgery, Bundelkhand Medical College, Sagar, Madhya Pradesh, India.
5. Demostrator, Department of Paediatrics, Bundelkhand Medical College, Sagar, Madhya Pradesh, India.
Correspondence
Dr. Punya Pratap Singh,
Flat No 9, Type - 4 Quaters, bmc Residential Complex, Sagar-470002, Madhya Pradesh, India.
E-mail: drpunya@gmail.com
Obstructed labour by large urinary bladder stones is one of the rare complications. Very small number of cases have been described in available literature. The diagnosis is generally based on the history of patient, their clinical evaluation and ultrasonography scans during pregnancy. Majority of antenatal cases in rural areas come first time in Primary Healthcare Centre (PHC) with labour pain and usually without any previous ultrasound scans. These cases are referred to higher centres due to prolonged obstructed labour. Although rare, but one should consider a large urinary bladder calculus as a cause of obstructed labour as early diagnosis and timely management of urinary bladder stones can prevent various complications like mechanical dystocia and Vesico-vaginal Fistula (VVF). Here, authors reported three cases of a large urinary bladder calculus causing obstructed labour. Caesarean section was done for obstructed labour and cystolithotomy was performed simultaneously in all three cases.
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