Abstract
We report a very rare case of intra-peritoneal spontaneous rupture of the urinary bladder which was successfully managed conservatively in a 77-year-old woman, who presented with lower abdominal pain, acute urinary retention and pelvic organ prolapse (POP). Computed tomography raised the suspicion of bladder rupture which was later confirmed by cystoscopy and cystogram. Following 8 weeks of urinary catheterisation, the bladder healed spontaneously. A subsequent sub-total abdominal hysterectomy and sacrocervicopexy were performed to treat the POP. The management of bladder rupture is discussed.
This is a preview of subscription content, log in via an institution to check access.
References
Saleem MA, Mahmoud AM, Gopinath BR (2009) Spontaneous urinary bladder rupture: a rare differential for lower abdominal pain in a female patient. Singapore Med J 50(12):e410–e411
Lapointe SP, Pharand D, Lapointe S, Drouin G (1997) Spontaneous rupture of the bladder as a complication of total vaginal prolapse. J Urol 158(3 Pt 1):884
Corriere JN Jr, Sandler CM (1986) Management of the ruptured bladder: seven years of experience with 111 cases. J Trauma 26(9):830–833
Angioli R, Penalver M, Muzii L, Mendez L, Mirhashemi R, Bellati F, Crocè C, Panici PB (2003) Guidelines of how to manage vesicovaginal fistula. Crit Rev Oncol/Hematol 48:295–304
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Abu Mahfouz, I., Sayer, T. & Phillips, C. Conservative management of spontaneous rupture of the urinary bladder. Int Urogynecol J 22, 629–631 (2011). https://doi.org/10.1007/s00192-010-1319-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-010-1319-6