DOI: 10.36347/sasjs

Pages: 104-106

Spontaneous bladder rupture (SBR) is a rare surgical emergency that occurs mostly in men with infravesical obstruction in presence of pathological bladder. Delayed and misdiagnosis of such clinical condition may lead to high morbidity and mortality rates. We herein present two cases with SBR. The first case is a 54 year old male presented with peritonitis and high creatinine level. This patient was misdiagnosed as perforated viscus but exploration revealed intraperitoneal bladder rupture which was secondary to prolonged infravesical obstruction (urethral stricture). The Second case was a 65 year old female that was referred from a peripheral hospital comatosed, desaturated and intubated. Patient had intraperitoneal bladder perforation and urinary ascites that was diagnosed by non-contrast CT cystogram. On exploration Bladder was contracted and inflamed that may be the underlying cause of SBR. SBR is a devastating and life threatening clinical condition. It is usually difficult to recognize preoperatively, so it has to be kept in mind among other causes of acute peritonitis.