title: Conservative treatment of an intraperitoneal bladder perforation.
abstract: BACKGROUND
  The management of bladder rupture depends on its anatomical location.
  
  
  METHODS
  Case report and review of the pertinent English language literature.
  
  
  RESULTS
  A 56-year-old man with history of an anterior rectum resection with partial cystectomy presented with signs of acute renal failure, and later with a tender, distended abdomen. Work-up including serum and ascites biochemistry, cystoscopy, and CT cystography diagnosed urinary ascites. The small intraperitoneal bladder rupture was treated conservatively via continued urinary drainage under urinary antibiotic prophylaxis until closure.
  
  
  CONCLUSIONS
  A conservative treatment of a small intraperitoneal bladder perforation is possible under certain conditions.
authors.affiliation: Department of Urology, UZ Brussel, Free University of Brussels, Belgium.
authors.forename: Barbara
authors.initials: B
authors.lastname: Craggs
authors.affiliation: Department of Urology, UZ Brussel, Free University of Brussels, Belgium.
authors.forename: Dirk
authors.initials: D
authors.lastname: Michielsen
keywords: bladder perforation; conservative treatment; urinary ascites