Spontaneous rupture of the bladder: Report of two cases

Abstract

To report two cases of spontaneous urinary bladder rupture following binge-drinking. Two male patients with history of alcohol abuse and no history of trauma, presented with progressive abdominal distension and features of peritonitis. In both cases. exploratory laparotomy revealed intraperitoneal rupture of the bladder. Primary repair was performed which was followed by an uneventful recovery. Spontaneous rupture of the bladder is a rare occurrence and when encountered, it presents a diagnostic challenge. A diagnosis of spontaneous perforation of the bladder should be considered in alcoholic patients presenting with an acute abdomen in a relatively stable condition and blood biochemistry showing a disproportionately elevated urea and creatinine.