An Atraumatic, Idiopathic Case Report of Intraperitoneal Bladder Dome Rupture

Kylie Prentice, BS, Alisa Wray, MD, MAEd and Danielle Matonis, MD

doi:https://doi.org/10.21980/J85S83

An Atraumatic, Idiopathic Case Report of Intraperitoneal Bladder Dome Rupture

Kylie Prentice, BS^*, Alisa Wray, MD, MAEd^* and Danielle Matonis, MD^*

^*University of California, Irvine, Department of Emergency Medicine, Orange, CA

Correspondence should be addressed to Alisa Wray, MD, MAEd at awray@hs.uci.edu

DOI: https://doi.org/10.21980/J85S83 Issue 6:4

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ABSTRACT:

Bladder rupture is a rare condition often seen in trauma patients that is associated with a high mortality.¹Spontaneous, intraperitoneal rupture is even rarer in the literature. In this case report we present a middle-aged woman presenting to the emergency department (ED) with abdominal pain, the need to strain to void, and gross hematuria with prior history of urological procedures and cervical cancer. A computed tomography (CT) cystography revealed an intraperitoneal bladder rupture, and the patient underwent an emergent laparotomy. The patient’s postoperative course was uneventful and she was discharged with a Foley catheter. This case represents the importance of keeping bladder rupture in the differential diagnosis even without a history of trauma. Furthermore, an expeditious diagnosis, preferably with CT cystography, and management of the rupture is essential in assuring fortunate outcomes.