Neglected Rupture of the Urinary Bladder in a Patient with Tonic-clonic Seizure and Mental Retardation

Abstract

Rupture of the urinary bladder is an uncommon condition and is usually caused by severe trauma. Neglected urinary bladder rupture in the absence of evident trauma history is rare. We report a patient with a history of mental retardation and epileptic seizures who presented to our hospital with facial laceration after recently falling due to seizure. No other obvious injuries were noted, however, we observed severe abdominal distension, ascites and hematuria. The patient's care giver mentioned that the patient had complained of abdominal pain and dysuria for the past 3 months but the symptoms had been ignored by hospital staff. A preliminary diagnosis of intraperitoneal rupture of the urinary bladder was made and a cystography and cystoscopy were conducted. Those procedures confirmed the diagnosis and the patient underwent urinary bladder repair. She recovered and was discharged 1 week later.