Vaginal and Bladder Rupture without Uterine Rupture in Unscarred Uterus

Introduction: Risk of uterine rupture in obstructed labor in grand multipara in developing countries is well documented; however, rupture of vagina involving bladder is uncommon. Below is described a rare case of 30-year-old grand multipara who suffered vaginal rupture associated with bladder rupture rather than uterine rupture during second stage of labor. This case is an important reminder to obstetricians that vaginal rupture can also occur in unscarred uterus without uterine involvement.