title: Bladder Rupture During ECT.
abstract: We report a case of intraperitoneal bladder rupture during electroconvulsivee therapy. We consider that the likely cause of this complication was powerful abdominal muscle contraction, during an unmodified seizure, on a bladder distended by failure to void urine before treatment and the anticholinergic effects of medication. The literature is reviewed, a similar case is discussed, and we make recommendations for the prevention of this complication.
authors.affiliation: Fermoy Unit, Queen Elizabeth Hospital, King's Lynn, Norfolk, England.
authors.forename: P. D.
authors.initials: PD
authors.lastname: O'Brien
authors.forename: D. H.
authors.initials: DH
authors.lastname: Morgan