title: Spontaneous bladder rupture caused by a giant vesical calculus.
abstract: Spontaneous rupture of the urinary bladder is an uncommon occurrence. A 36-year-old man had complaints of pain and progressive distension of abdomen and anuria for 2 days. His abdomen was tense, tender and distended with free fluid. Blood urea was 340 mg% and ascitic fluid urea was 337 mg%. An USG showed massive ascitis, a large vesical calculus and a left renal calculus. The urinary bladder could not be catheterized. Patient underwent hemodialysis and placement of abdominal drains. About 2 l of yellow turbid fluid was drained. Cystolithotomy showed a 6 cm size impacted calculus with a rent in the dome of the bladder, which was repaired. Subsequently patient underwent percutaneous nephrolithotrypsy for left staghorn renal calculus and nephrectomy for right non-functioning kidney.
authors.affiliation: Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, 95, India. dr_navkaur@hotmail.com
authors.forename: Navneet
authors.initials: N
authors.lastname: Kaur
authors.forename: Amit
authors.initials: A
authors.lastname: Attam
authors.forename: Ashish
authors.initials: A
authors.lastname: Gupta
authors.lastname: Amratash
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D001744:Urinary Bladder Calculi / Q000150:complications* / Q000473:pathology; D001745:Urinary Bladder Diseases / Q000209:etiology*