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Updated: Dec 13, 2025
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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
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[A Case of Panperitonitis Caused by Spontaneous Bladder Rupture]
Tomoyo Kurisu1, Toshiaki Tanaka1, Manabu Okada1
1The Department of Urology, Sapporo Medical University.
Hinyokika Kiyo. Acta Urologica Japonica
|July 30, 2020
Summary
Spontaneous bladder rupture is rare, especially without prior surgery. This case highlights a potential link between poorly controlled diabetes, neurogenic bladder, and bladder rupture, emphasizing the need for bladder dysfunction evaluation.
Area of Science:
- Urology
- Diabetology
- Emergency Medicine
Background:
- Diabetes mellitus can cause neurogenic bladder, leading to voiding disturbances.
- Chronic urinary tract infections (UTIs) are common in patients with diabetes.
- Spontaneous bladder rupture is a rare but life-threatening condition.
Observation:
- A septuagenarian with long-standing diabetes and persistent pyuria presented with panperitonitis and sepsis.
- Computed tomography revealed ascites, free air, and a bladder wall defect, suggesting rupture.
- Emergency laparotomy confirmed an intraperitoneal bladder perforation without gastrointestinal injury.
Findings:
- The patient underwent successful bladder repair and cystostomy.
- The spontaneous bladder rupture was attributed to neurogenic bladder secondary to diabetes and chronic infection.
- This case is exceptionally rare, as spontaneous bladder rupture typically follows pelvic surgery or irradiation.
Implications:
- Early evaluation and management of bladder dysfunction in diabetic patients with recurrent UTIs are crucial.
- Prompt diagnosis and surgical intervention are vital for managing spontaneous bladder rupture.
- This case underscores the importance of considering bladder integrity in diabetic patients presenting with abdominal sepsis.
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