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Case Reports
. 2014 Mar 11:2014:bcr2013201972.
doi: 10.1136/bcr-2013-201972.

Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer

Marios Hadjipavlou  1 , Tharu Tharakan, Shahid A A Khan, Michael Swinn
Affiliations
Case Reports

Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer

Marios Hadjipavlou et al. BMJ Case Rep. .

Abstract

We describe the case of a 65-year-old man who developed spontaneous bladder rupture after picking up his suitcase from a squatting position. He was known to have non-muscle invasive bladder cancer (NMIBC), managed previously with transurethral resections and intravesical chemotherapy. CT scan showed a large amount of free intraperitoneal fluid anterior to the bladder, suggestive of a urinoma. Management was initially conservative, with insertion of urethral catheter, intravenous antibiotics and fluid resuscitation. Follow-up CT scan showed resolution of the urinoma with the patient making a full recovery after 3 weeks.

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Figures

Figure 1
Figure 1
Coronal (1) and saggital (2) reconstructions of the CT scan on admission showing free fluid in the pelvis superior to the bladder and around the liver.
Figure 2
Figure 2
Coronal (1) and saggital (2) reconstructions of the CT scan on admission showing free fluid in the pelvis superior to the bladder and around the liver.
See this image and copyright information in PMC

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