Respiratory distress with urinary ascites; a rare presentation of urinary bladder injury after caesarian section

ABSTRACT

Respiratory distress with Urinary ascites is a rare diagnosis usually associated with intra-peritoneal bladder perforation. We present a case of a 35 year old female who had her 3[rd] C- section and presented 08 days later with respiratory distress and massive urinary ascites .We have discussed why the diagnosis was missed initially and then how was it made, and then eventually its management. In summary, we show that a combination ascitic biochemistry and CT Urography are essential to make a diagnosis of urinary ascites and to know the site of urinary tract injury