Spontaneous rupture of bladder: Case report

Spontaneous rupture of the bladder is considered a urological emergency requiring a high index of suspicion for its diagnosis, and treatment can have a high degree of complexity. A case is presented of a 54 year-old patient with a history of cervical cancer treated with radiotherapy in 1993, and pleomorphic sarcoma in the lumbar and sacral region that received management with surgery, chemotherapy and radiotherapy in 2007. She consulted in the emergency room with symptoms of progressive lower abdomen pain, emesis, and mixed urinary incontinence. The abdominal and pelvic tomography showed no evidence of extravasation of the contrast medium in the posterior wall of the bladder. An exploratory laparotomy and bladder suture was performed. The patient showed adequate progress and the follow-up pelvic scan was normal. (C) 2016 Instituto Nacional de Cancerologia. Published by Elsevier Espana, S.L.U. All rights reserved.