• BMJ case reports · Jan 2014

    Case Reports

    Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer.

    • Marios Hadjipavlou, Tharu Tharakan, Shahid A A Khan, and Michael Swinn.
    • Department of Urology, East Surrey Hospital, Redhill, Surrey, UK.
    • BMJ Case Rep. 2014 Jan 1;2014.

    AbstractWe 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.

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