Abstract
An 87-year-old female patient was admitted to a geriatric ward after a fall. She reported worsening abdominal discomfort and urge urinary incontinence for several months. On admission, physical examination revealed abdominal distention with slight diffuse tenderness and dilated superficial collateral veins (Figure 1). Suprapubic percussion showed an abnormally vast dull pitch, extending over the umbilicus.
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