title: Spontaneous Atraumatic Urinary Bladder Rupture Secondary to Alcohol Intoxication: A Case Report and Review of Literature.
abstract: BACKGROUND
  Spontaneous rupture of the urinary bladder (SRUB) secondary to alcohol intoxication is an uncommon presentation with high morbidity and mortality. Herein, we reported a rare case of spontaneous atraumatic rupture of the urinary bladder due to alcohol intoxication.
  
  
  METHODS
  A 45-year-old Sri Lankan man presented with drowsiness, diffuse abdominal pain, vomiting with odor of alcohol, and urinary retention 24 hours prior to the index admission. CT cystogram confirmed the urinary bladder rupture at the dome, which was repaired through exploratory laparotomy.
  
  
  CONCLUSIONS
  An SRUB patient with alcohol abuse often presents with non-specific symptoms due to absence of a traumatic event, which results in missed or delayed-diagnosis. Early diagnosis and management of SRUB is crucial for uneventful recovery.
authors.affiliation: Department of Surgery, Plastic Surgery Section, Hamad General Hospital, Doha, Qatar.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Muneer
authors.affiliation: Department of Surgery, Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.
authors.forename: Husham
authors.initials: H
authors.lastname: Abdelrahman
authors.affiliation: Department of Surgery, Trauma Clinical Research, Hamad General Hospital, Doha, Qatar.
authors.forename: Ayman
authors.initials: A
authors.lastname: El-Menyar
authors.affiliation: Department of Surgery, Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Zarour
authors.affiliation: Department of Radiology, Hamad General Hospital, Doha, Qatar.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Awad
authors.affiliation: Department of Surgery, Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.
authors.forename: Hassan
authors.initials: H
authors.lastname: Al-Thani
mesh_terms: D000435:Alcoholic Intoxication / Q000150:complications*; D001706:Biopsy; D003937:Diagnosis, Differential; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000473:pathology; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014567:Urography