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Rupture of the uterus is still a major obstetric problem in developing countries. The urinary bladder is often affected especially when a lower segment Caesarean scar ruptures. We present a case of bladder rupture associated with uterine rupture in a patient who was attempting vaginal delivery after two previous Caesarean sections. The potential for bladder injury should always be considered in deciding on vaginal birth after Caesarean section and adequate precautions taken.
Keywords: Uterine, Rupture, Vaginal birth, Caesarean