(African Health Sciences, 2004) Wandabwa, Julius; Kiondo, Paul; Otim, Tom Charles
Abstract
Spontaneous rupture of bladder and extravasation of urine in the peritoneum without evidence of trauma is rare. This condition
is an emergency. It presents in a unique way therefore, the diagnosis and treatment is usually delayed. This patient presented with
an acute abdominal pain and oliguria. She had delivered normally eight days before re-admission. Investigations were done and an
exploratory laparotomy was performed. There was a tear in the fundus of the bladder and the peritoneal cavity contained urine.
Peritoneal lavage was done and the bladder was repaired in layers. She was put on continuous bladder drainage for three weeks
followed by bladder training. The bladder resumed its normal function. Early diagnosis and appropriate management decreases
the morbidity and mortality associated with this condition.
African Health Sciences 2004; 4(2) 138-13