Asian Journal of Case Reports in Surgery

Introduction: Bladder rupture is most frequently seen after some form of trauma. However, Spontaneous bladder rupture (SBR) may also occur in rare cases and often presents with non-specific clinical features and this results delaying the diagnosis and management.

Case Presentation: A 51-year-old Male laborer presented with abdominal distension, pain, vomiting, constipated and with not passing urine. The patient was diagnosed with bladder rupture. Immediately was surgical explorer finding the bladder wall perforation; therefore, it closed by primary suturing. Patient was discharged 10 days after the procedure with active follow up for 2 months and experienced no further complaints.

Discussion: In most of the cases of bladder rupture, there is a history of trauma; however, SBR can occur without history of trauma. It could present as a case of pseudo renal failure with acute abdomen. This suspicion is infrequent; however, it must be considered. Almost always, there is an underlying abnormality.

Conclusion: Urinary Bladder rupture is an emergency condition. If left untreated or undiagnosed for long it will be fatal. Therefore, high index of clinical suspicion is necessary for early diagnosis and proper treatment of bladder rupture.