Bladder Rupture During ECT.
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.
O'Brien
P. D.
PD
Fermoy Unit, Queen Elizabeth Hospital, King's Lynn, Norfolk, England.
Morgan
D. H.
DH