Spontaneous Extraperitoneal Bladder Rupture Because of Chronic Appendicitis

Area of Science:

• Urology
• Gastroenterology
• Surgical Pathology

Background:

• Bladder rupture is a rare condition often associated with trauma or surgical complications.
• Abdominal pain and anuria can indicate serious underlying pathology requiring prompt diagnosis.

Observation:

• A 62-year-old male presented with syncope, abdominal pain, and acute anuria.
• Initial workup revealed an idiopathic extraperitoneal bladder rupture managed conservatively with Foley catheterization.

Findings:

• Persistent symptoms and lack of resolution over two months prompted exploratory laparotomy.
• Chronic appendicitis with an elongated appendix was identified as the cause of bladder rupture due to chronic inflammatory changes.

Implications:

• This case underscores the importance of considering unusual etiologies for bladder rupture.
• Chronic inflammation from adjacent organs, like the appendix, can lead to significant genitourinary complications.