Abstract

Spontaneous rupture of the urinary bladder associated with bladder cancer is very rare. Its signs and symptoms are those of peritonitis, and thus non-specific, possibly causing diagnostic confusion. A 69-year-old man with a history of macrohematuria and possible neurogenic bladder presented with signs of peritonitis. Laparotomy revealed bladder rupture associated with squamous cell carcinoma of the bladder. This condition should be added as a differential diagnosis of peritonitis, especially with a history of urinary symptoms.

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