Spontaneous Bladder Rupture Masquerading as Pseudo-diverticulum

Abstract

Spontaneous bladder rupture is rare. Presentation is non-specific and in absence of history of trauma, radiation, inflammatory conditions and other leading causes, there is considerable diagnostic delay. Absence of clear cut diagnostic signs leads to increased morbidity and mortality. In many patients, omentum seals perforation, giving diverticular appearance in Cystogram. The objective of this case report is to highlight important specific diagnostic points in history and radiology which will help in clear, early diagnosis and treatment causing immense benefit to the patient. We would also like to highlight a specific radiological point to distinguish true from pseudo-diverticulum.

Keywords

• Spontaneous bladder rupture
• Pseudo-diverticulum
• Cystogram
• CT scan
• Cystoscopy
• Laparotomy