Idiopathic spontaneous bladder perforation: a rare case.

Abstract

Idiopathic, spontaneous bladder perforation is a very rare and life threatening clinical condition. It is not always possible to diagnose by radiological imaging. On the other hand, cystography is more proper diagnostic choice for the patients who may have the possibility of urinary bladder perforation. However, idiopathic, spontaneous bladder perforation is not primarily considered for the patients because of its rareness. Bladder perforations are usually iatrogenic or encountered secondary to trauma, malignancies or radiation exposure. Patients usually admit with lower abdominal pain, dysuria or anuria. There are findings compatible with acute abdomen in physical examination. White blood cell count, urea, creatinine and C-reactive protein (CRP) levels may be elevated. Blood is usually observed in urine test. Despite these radiological evaluations and findings in laboratory and physical examinations, correct diagnosis is usually made by laparoscopy. Urgent surgery, repairing and drainage are the first choice of therapy. Delay in diagnosis and treatment increase mortality and morbidity. In this case report, we present a case of idiopathic spontaneous bladder perforation.