title: Spontaneous Extraperitoneal Bladder Rupture Because of Chronic Appendicitis.
abstract: A 62-year-old man presented to the emergency department with an episode of syncope after 2-3 weeks of diffuse abdominal pain, now complaining of a severe increase in pain concurrent with >24 hours of no urine output. His workup showed an idiopathic extraperitoneal rupture of the bladder on computed tomography, which was handled conservatively with Foley insertion. Repeated follow-up and imaging showed no resolution or etiology over 2 months. The patient underwent exploratory laparotomy that showed an elongated appendix with a chronic tip appendicitis that had induced bladder rupture by chronic inflammatory changes. After repair, the patient had no further complaints.
authors.affiliation: Smith Institute for Urology, North Shore-Long Island Jewish Health System, NY, USA.
authors.forename: Bradley A
authors.initials: BA
authors.lastname: Morganstern
authors.affiliation: Department of Urology, Nassau University Medical Center, NY, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Viviano
authors.affiliation: Smith Institute for Urology, North Shore-Long Island Jewish Health System, NY, USA.
authors.forename: Sammy
authors.initials: S
authors.lastname: Elsamra
keywords: Appendicitis; Bladder rupture; Extraperitoneal; Vesicoenteric fistula