Soukaina BAHHA, Salma El AOUADI, Asmae Guennouni, Sarah Loubaris, Zakaria Toufga, Jamal El Fenni.
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 3
Issue: 2
Date of Publication: 2026/02/27
Spontaneous bladder rupture is a rare but serious cause of acute abdomen that often poses diagnostic challenges due to its nonspecific clinical presentation. It typically occurs in the context of underlying conditions such as bladder diverticula, malignancies, or neurogenic bladder dysfunction. We present the case of a patient who developed a spontaneous bladder rupture secondary to a bladder diverticulum, with atypical symptoms that initially led to a delay in diagnosis. The patient presented with diffuse abdominal pain, oliguria, and elevated serum creatinine levels, with initial imaging suggesting peritonitis. A CT scan confirmed the diagnosis, and the patient underwent emergency surgical repair. The article highlights the importance of considering bladder rupture in the differential diagnosis of acute abdomen, particularly in patients with risk factors for bladder diverticula. Early recognition and prompt surgical intervention are essential to avoid severe complications such as sepsis, peritonitis, and renal failure. This case underscores the need for heightened clinical suspicion in cases of atypical acute abdomen to ensure timely and appropriate treatment.
Spontaneous bladder rupture, Acute abdomen, Peritoneal contamination
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