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.
Written by:
Hadjipavlou M, Tharakan T, Khan SA, Swinn M. Are you the author?
Department of Urology, East Surrey Hospital, Redhill, Surrey, UK.
Reference: BMJ Case Rep. 2014 Mar 11;2014.
doi: 10.1136/bcr-2013-201972
PubMed Abstract
PMID: 24618866
UroToday.com Bladder Cancer Section
