Abstract
Spontaneous bladder rupture, especially associated with neurogenic bladder dysfunction, is a rare disease. Intraperitoneal bladder rupture often causes peritoneal irritation and paralytic ileus, which suggests gastrointestinal perforation or strangulation ileus. Therefore, it is difficult to make a definite diagnosis until laparotomy. We report a case of spontaneous bladder rupture associated with neurogenic bladder dysfunction. The patient was an 88-years-old man who was admitted to our hospital with a complaint of lower abdominal pain with peritoneal irritation. We made a diagnosis of spontaneous bladder rupture, based on CT findings, immediately after cystography. We review and discuss 27 cases of spontaneous bladder rupture in neurogenic bladder that have been reported in Japan. Intraperitoneal bladder rupture must be taken into consideration in the differential diagnosis of unidentified fluid in the abdominal cavity.
