title: Spontaneous urinary bladder rupture: a rare differential for lower abdominal pain in a female patient.
abstract: We report a rare case of spontaneous "idiopathic" rupture of the urinary bladder in a 38-year-old previously-fit and -well woman, who presented with symptoms of severe lower abdominal pain. Computed tomography of the abdomen and pelvis indicated the preliminary findings, but the final diagnosis was confirmed only at laparoscopy. The bladder was repaired. The postoperative cystogram showed excellent healing of the bladder, with no further intra-abdominal urinary leakage.
authors.affiliation: Department of General Surgery, University Hospital of North Tees and Hartlepool, NHS Trust, Stockton on Tees, Cleveland TS19 8PE, UK. ahsan.saleem@nth.nhs.uk
authors.forename: M A
authors.initials: MA
authors.lastname: Saleem
authors.forename: A M
authors.initials: AM
authors.lastname: Mahmoud
authors.forename: B R
authors.initials: BR
authors.lastname: Gopinath
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000435:Alcoholic Intoxication / Q000150:complications; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*