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Acute abdomen--remember spontaneous perforation of the urinary bladder
D R Basavaraj1, K K Zachariah, J G Feggetter
1Department of Urology, Wansbeck General Hospital, Ashington, Northumberland, UK. raj@dbasavaraj.freeserve.co.uk
Journal of the Royal College of Surgeons of Edinburgh
|November 8, 2001
Abstract:
Spontaneous perforation of the urinary bladder is a rare clinical condition presenting as an acute abdomen. It should be suspected in patients with a past history of radiotherapy to the pelvis, enterocystoplasty and those suspected of having a tumour in the bladder. Disproportionately elevated serum urea and creatinine should raise the index of suspicion. A case of spontaneous perforation of the bladder, five years following successful treatment of a bladder tumour by radiotherapy, is reported.