Abstract
Spontaneous rupture of the urinary bladder (SRUB) is a rare clinical condition. Prompt diagnosis is often difficult both clinically and radiologically and necessitates a high index of suspicion as the patients present with non-specific abdominal pain and may not offer a clear history. The depressant effect of alcohol further complicates the diagnosis. We report a case of a young male who was unable to seek medical support and was found dead within 12 hours of the onset of abdominal discomfort following acute alcohol intoxication. At autopsy, rupture of the urinary bladder with blood and blood clots was found in the pelvic cavity with no any corresponding external injury. Spontaneous rupture of the urinary bladder is a rare cause of death in acute alcohol intoxication. In order to further understand this rare condition, the review of related literature has been done.
Highlights
Spontaneous rupture of the urinary bladder (SRUB) in affiliation with acute alcohol inebriation driving to death is an uncommon finding[1]
A small number of case reports have been reported in the literature of spontaneous bladder rupture in association with either acute liquor inebriation or recent intake of excessive liquor in the absence of associated injury to the bladder[1,9,10,11,12,13,14,15]
The literature reporting the case of SRUB followed by alcohol intake were included in the review and the literature reporting the case of SRUB with no history of alcohol intake were excluded from the review
Summary
Spontaneous rupture of the urinary bladder (SRUB) in affiliation with acute alcohol inebriation driving to death is an uncommon finding[1]. A 24 years old male with past history of occasional alcohol intake and no any significant medical history had an excessive alcohol intake since the morning of 24th July 2019 He was intoxicated which was evident through his falling down on the hotel's floor while walking at around 4:30 pm on the same day and sustained some superficial blunt trauma injuries over his head, face and right forearm region. He experienced abdominal pain similar to that of the acute abdomen for which no medical help was taken. A careful examination revealed no external injury over the trunk and lower limb regions
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