A pregnant women, previous LSCS presents with hematuria. What is the likely diagnosis?
In obstructed labour the bladder becomes an abdominal organ and due to compression of urethra between the presenting pa and symphysis pubis, the patient fails to empty the bladder. The transverse depression at the junction of the superior border of the bladder and the distended lower segment is often confused with the Bandl's ring. The bladder wall gets traumatized which may lead to blood stained urine, a common finding in obstructed labour. Ref: D.C.Dutta 6th Ed Page 405.
Eclampsia
Obstructed labour
Ureteral injury
Cystitis