Unusual presentation of urinary tract infection with gross hematuria and bladder hematoma in pregnancy: a case report

Authors

  • Kanchi Jain Department of Obstetrics and Gynecology, Government Medical College and Hospital, Nagpur, Maharashtra, India
  • Mansi Shrigiriwar Department of Obstetrics and Gynecology, Government Medical College and Hospital, Nagpur, Maharashtra, India
  • Manjushree Waikar Department of Obstetrics and Gynecology, Government Medical College and Hospital, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20243620

Keywords:

UTI, Pregnancy, Bladder hematoma, Gross hematuria

Abstract

A 21-year-old pregnant patient at 28 weeks gestation presented with gross hematuria, burning micturition, and lower abdominal pain over 2-3 days. Imaging revealed cystitis and bladder hematoma formation. Urinalysis showed leukocytes and numerous red blood cells, while urine culture was negative for significant organism growth. Treatment with injectable antibiotics and continuous bladder irrigation led to symptom resolution. This report highlights an unusual manifestation of urinary tract infection (UTI)-induced bladder hematoma in pregnancy presenting with gross hematuria.

 

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References

Habak PJ, Carlson K, Griggs RP Jr. Urinary Tract Infection in Pregnancy. Treasure Island (FL): StatPearls Publishing. 2024.

American College of Obstetricians and Gynecologists (ACOG): Provides guidelines and recommendations for managing UTIs in pregnancy. 2023.

Gazmararian JA, Petersen R, Jamieson DJ, Schild L, Adams MM, Deshpande AD, et al. Hospitalizations during pregnancy among managed care enrollees. Obstet Gynecol. 2002;100(1):94-100.

Delzell JE Jr, Lefevre MI. Urinary Tract Infections During Pregnancy. Am Family Physician. 2000;61:713-21.

Zahedkalaei AT, Mahdiye K, Pouneh Z, Marjan R, Mohammad BS. Association Between Urinary Tract Infection in the First Trimester and Risk of Preeclampsia: A Case–Control Study. Int J Womens Health. 2020;12:521-6.

Schnarr J, Smaill F. Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy. Eur J Clin Invest. 2008;38(2):50-7.

Schnarr J, Smaill F. Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy. Eur J Clin Invest. 2008;38(2):50-7.

Schnarr J, Smaill F. Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy. Eur J Clin Invest. 2008;38(2):50-7.

Zahedkalaei AT, Mahdiye K, Pouneh Z, Marjan R, Mohammad BS. Association Between Urinary Tract Infection in the First Trimester and Risk of Preeclampsia: A Case–Control Study. Int J Womens Health. 2020;12:521-6.

Zahedkalaei AT, Mahdiye K, Pouneh Z, Marjan R, Mohammad BS. Association Between Urinary Tract Infection in the First Trimester and Risk of Preeclampsia: A Case–Control Study. Int J Womens Health. 2020;12:521-6.

Choo MS. Bladder Cancer. Chapter 4-Symptoms. Hallym University College of Medicine, Chuncheon, South Korea. 2018;45-55.

Gupta K. Urinary tract infections and asymptomatic bacteriuria in pregnancy. 2024.

Gupta K. Urinary tract infections and asymptomatic bacteriuria in pregnancy. 2024.

Hooton TM, Gupta K. Urinary tract infections in women. N Engl J Med. 2015;373(21):1992-2002.

Jang TH, Lee SH. Clinical characteristics of hematuria in pregnant women: A retrospective study. BMC Pregnancy Childbirth. 2020;20(1):1-8.

Haas JA, Yost NP. Urinary tract infection in pregnancy. Am J Obstetr Gynecol. 2019;220(2):141-6.

Wong SH, Tzeng CH. Prevalence and clinical significance of hematuria in pregnant women with urinary tract infections. J Maternal Fetal Neonatal Med. 2018;31(19):2650-5.

Haas JA, Yost NP. Urinary tract infection in pregnancy. Am J Obstetr Gynecol. 2019;220(2):141-6.

Wong SH, Tzeng CH. Prevalence and clinical significance of hematuria in pregnant women with urinary tract infections. J Maternal-Fetal Neonatal Med. 2018;31(19):2650-5.

Nielsen SF. The significance of hematuria in pregnant women with urinary tract infections. Euro J Obstetr Gynecol Reproduct Biol. 2017;214:141-5.

Hooton TM, Gupta K. Urinary tract infections in women. N Engl J Med. 2015;373(21):1992-2002.

Baker KW. Hematuria in pregnancy: A clinical review. Am J Obstetr Gynecol. 2016;215(2):196-203.

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Published

2024-11-28

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Section

Case Reports