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Leijia Li, Jianzhong Li, Jin Tao, Yashi Zhan, Yidong Yang, Bilun Ke, Bin Wu
Am J Case Rep 2011; 12:206-209
Background: Spontaneous rupture of the bladder (SRUB) is an uncommon life-threatening condition. SRUB is included in the differential diagnoses of acute abdominal pain, the inability to void, and ascites.
Case Report: Here, we report a case of alcohol intoxication-induced spontaneous bladder rupture. Initial symptoms were acute abdominal pain and distension, vomiting, and oliguria. Ultrasound examination revealed obvious ascites. Urinary erythrocytes, blood urine nitrogen, and blood creatinine were significantly elevated. However, amylase levels were normal in both blood and urine. A computed tomography (CT) contrast-enhanced scan and a cystoscopic examination both indicated a rupture of the bladder in the right dome. After reparative surgery, the patient was restored to health.
Conclusions: This case indicates that a CT cystogram is the procedure of choice for confirming a bladder rupture diagnosis.