title: Generalized peritonitis caused by spontaneous intraperitoneal rupture of the urinary bladder.
abstract: We report a case of generalized peritonitis caused by spontaneous intraperitoneal rupture of the urinary bladder. A 74-year-old female was admitted with abdominal pain and biochemical findings of acute renal failure (ARF). She had recently complained of macrohematuria. She had a past history of radiotherapy for uterine cervical cancer and Parkinson's disease treated with levodopa and amantadine. We diagnosed this case as intraperitoneal rupture of the bladder by cystogram. Biochemical findings of ARF might have resulted from urine reabsorption. Intraperitoneal rupture of the bladder should be considered in all cases of peritonitis, especially in patients with urological symptoms and features of ARF.
authors.affiliation: Third Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine, Kitakyushu.
authors.forename: A
authors.initials: A
authors.lastname: Tabaru
authors.forename: M
authors.initials: M
authors.lastname: Endou
authors.forename: Y
authors.initials: Y
authors.lastname: Miura
authors.forename: M
authors.initials: M
authors.lastname: Otsuki
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology*; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D001745:Urinary Bladder Diseases / Q000150:complications* / Q000000981:diagnostic imaging