Abstract
Urinary bladder rupture is an uncommon occurrence, usually associated with penetrating or blunt trauma ( 1 Shumaker B.P. Pontes J.E. Pierce J.M. Idiopathic rupture of the bladder. Urology. 1980; 15: 566-568 Abstract Full Text PDF PubMed Scopus (15) Google Scholar , 2 Mokoena T. Naidu A.G. Diagnostic difficulties in patients with a ruptured bladder. Br J Surg. 1995; 82: 69-70 Crossref PubMed Scopus (47) Google Scholar ). In rare instances, however, bladder rupture occurs spontaneously ( 3 Huffman J.L. Schraut W. Bagley D.H. Atraumatic perforation of bladder. Urology. 1983; 22: 30-35 Abstract Full Text PDF PubMed Scopus (36) Google Scholar ). Such patients usually present with severe pain and the clinical picture of an acute abdomen ( 3 Huffman J.L. Schraut W. Bagley D.H. Atraumatic perforation of bladder. Urology. 1983; 22: 30-35 Abstract Full Text PDF PubMed Scopus (36) Google Scholar , 4 Marshall G.A. Dixon C.M. McAninch J.W. Substance abuse-related spontaneous bladder rupture report of 2 cases and a review of the literature. J Urol. 1991; 145: 135-137 PubMed Google Scholar ). We present the case of a patient with painless, nontraumatic bladder perforation who did not seek medical attention until he began to experience symptoms attributable to urinary ascites.
Published Version
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