Spontaneous Bladder Rupture Secondary to Neurogenic Bladder Following Acute Cerebrovascular Accident

Abstract

Urinary bladder ruptures are commonly associated with penetrating or blunt abdominal injury, however it can occur spontaneously as well (1 in 126,000 people). Overall mortality rate is about 50% and it is often difficult to diagnose clinically even with the aid of imaging. These injuries are often initially misdiagnosed. The underlying causes for spontaneous bladder rupture include bladder tumour, diverticulum, cystitis and rarely neurogenic bladder. We report a case of spontaneous bladder rupture that happened few days after acute stroke in an elderly woman. She presented with acute abdomen in the medical ward. Emergency laparotomy was performed and the rupture of bladder was identified and repaired.

Keywords

• bladder dysfunction
• stroke
• urinary retention