title: Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer.
abstract: We describe the case of a 65-year-old man who developed spontaneous bladder rupture after picking up his suitcase from a squatting position. He was known to have non-muscle invasive bladder cancer (NMIBC), managed previously with transurethral resections and intravesical chemotherapy. CT scan showed a large amount of free intraperitoneal fluid anterior to the bladder, suggestive of a urinoma. Management was initially conservative, with insertion of urethral catheter, intravenous antibiotics and fluid resuscitation. Follow-up CT scan showed resolution of the urinoma with the patient making a full recovery after 3 weeks.
authors.affiliation: Department of Urology, East Surrey Hospital, Redhill, Surrey, UK.
authors.forename: Marios
authors.initials: M
authors.lastname: Hadjipavlou
authors.forename: Tharu
authors.initials: T
authors.lastname: Tharakan
authors.forename: Shahid A A
authors.initials: SA
authors.lastname: Khan
authors.forename: Michael
authors.initials: M
authors.lastname: Swinn
mesh_terms: D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000150:complications / Q000473:pathology*; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D012422:Rupture, Spontaneous / Q000150:complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D001745:Urinary Bladder Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000473:pathology*; D053584:Urinoma / Q000000981:diagnostic imaging* / Q000209:etiology