Intraperitoneal bladder ruptureBMJ 2016; 352 doi: https://doi.org/10.1136/bmj.h6664 (Published 06 January 2016) Cite this as: BMJ 2016;352:h6664
- Tom Nicholas Blankenstein, specialist trainee year 3, radiology 1,
- Fiona C Minns, specialist trainee year 5, radiology1,
- Simon Paterson-Brown, consultant surgeon2,
- John T Murchison, consultant radiologist1
- 1Department of Clinical Radiology, Royal Infirmary of Edinburgh, Edinburgh EH16 4SA, UK
- 2Department of Surgery, Royal Infirmary of Edinburgh
- Correspondence to: T N Blankenstein
A 27 year old woman presented with acute abdominal pain after a brief syncope while on a fairground ride. She reported no history of serious trauma. Because blood tests showed acute renal impairment a urinary catheter was inserted. Unenhanced computed tomography showed gross intraperitoneal free fluid with no clear cause⇑. Diagnostic laparoscopy identified intraperitoneal bladder rupture, which required open surgical repair. Even in the absence of a clear history of trauma, the presence of a large volume of free fluid and acute renal impairment should raise suspicion of intraperitoneal bladder rupture. This can occur with minimal trauma when the bladder is full. Surgical repair offers an excellent outcome.
Cite this as: BMJ 2016;352:h6664
Patient consent obtained.