Occult bladder lesion following caesarean section - a case report

Iatrogenic urinary bladder lesions are rare but potentially serious complications after caesarean sections. According to the NICE guideline the incidence is approximately 0.009 per cent in elective primary caesarean sections, and the majority is diagnosed during the operation. Undiagnosed lesions may persist years after the initial laceration. This case report describes a 43-year-old woman with recurring urinary tract infections and abdominal pain after a caesarean section 2.5 years earlier. Referral to a second opinion prompted explorative surgery which revealed a bladder lesion covered by peritoneum with recurring perforation, uroplania and uroperitonitis. The patient was successfully treated with resection of the affected tissue and suturing of the bladder.