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Medical Science Monitor Basic Research


Spontaneous Atraumatic Urinary Bladder Rupture Secondary to Alcohol Intoxication: A Case Report and Review of Literature

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)

Mohammed Muneer, Husham Abdelrahman, Ayman El-Menyar, Ahmad Zarour, Ahmed Awad, Hassan Al-Thani

Qatar Department of Surgery, Plastic Surgery Section, Hamad General Hospital, Doha, Qatar

Am J Case Rep 2015; 16:778-781

DOI: 10.12659/AJCR.894992

Available online: 2015-11-02

Published: 2015-11-02


BACKGROUND: Spontaneous rupture of the urinary bladder (SRUB) secondary to alcohol intoxication is an uncommon presentation with high morbidity and mortality. Herein, we reported a rare case of spontaneous atraumatic rupture of the urinary bladder due to alcohol intoxication.
CASE REPORT: A 45-year-old Sri Lankan man presented with drowsiness, diffuse abdominal pain, vomiting with odor of alcohol, and urinary retention 24 hours prior to the index admission. CT cystogram confirmed the urinary bladder rupture at the dome, which was repaired through exploratory laparotomy.
CONCLUSIONS: An SRUB patient with alcohol abuse often presents with non-specific symptoms due to absence of a traumatic event, which results in missed or delayed-diagnosis. Early diagnosis and management of SRUB is crucial for uneventful recovery.

Keywords: Alcoholic Intoxication - complications, Biopsy, Diagnosis, Differential, Laparotomy, Rupture, Spontaneous, Tomography, X-Ray Computed, Urinary Bladder - ultrasonography, Urinary Bladder Diseases - surgery, Urography