SPONTANEOUS BLADDER RUPTURE SECONDARY TO BLADDER

OUTLET OBSTRUCTION: A RARE CASE REPORT AND REVIEW OF

LITERATURE

INTRODUCTION:

Spontaneous bladder rupture is a rare surgical emergency.​ Spontaneous ruptures can be

idiopathic or secondary to diseases involving urinary bladder or urinary outflow tract.
Idiopathic spontaneous ruptures of urinary bladder reported in literature are due to ongoing
chronic diseases of urinary bladder (42%) or prolonged urinary retention (35%) .

CASE REPORT:

A 65 yr old male who was a known case of metastatic CA prostate diagnosed 6 months ago
and had not come for hormonal manipulation, now presented to casualty with dysuria and
pain abdomen for 3 days and inability to void for 1 day. He had suprapubic tenderness with
guarding. Patient had elevated renal parameters and pyuria. CT KUB suggested a defect in
urinary bladder. CT cystogram showed intraperitoneal rupture at the dome of the bladder.
Patient underwent emergency laparotomy with bladder repair and recovered well
postoperatively.

CONCLUSION:

Bladder rupture is usually reported in association with blunt or penetrating trauma or with
iatrogenic injury. Spontaneous bladder rupture is rare. This case report aims to insist that
there should be a high index of suspicion in patients with acute abdomen having associated
diseases of lower urinary tract and a differential diagnosis of bladder rupture should be
considered.