Spontaneous Rupture of Urinary Bladder Diagnosed by Bedside Ultrasound; a Case Report

  • Ateeq Ur. Rahaman ORCID Mail Department of Emergency Medicine, Hamad General Hospital, Doha, Qatar
  • Al-Nuaimi Saad-Abdullah Department of Emergency Medicine, Hamad General Hospital, Doha, Qatar
  • Kumar Suresh ORCID Department of Emergency Medicine, Hamad General Hospital, Doha, Qatar
Keywords:
Emergency Service, Hospital, Rupture, Spontaneous, Ultrasonography, Urinary Bladder

Abstract

Introduction: Spontaneous rupture of the urinary bladder (SRUB) is rare condition. It is often difficult to diagnose particularly in busy emergency department (ED). SRUB is usually secondary to an underlying pathology, but in extremely rare condition, it can be idiopathic. Significant morbidity and mortality can result from a missed or delayed diagnosis. Case presentation: We report a case of idiopathic SRUB in a young male presented with inability to pass urine and abdominal pain in the absence of prior trauma or alcohol intoxication. A bedside ultrasound was performed by the emergency physician (EP) to confirm his suspicion, which demonstrated free intra-peritoneal fluid. This expedited further workup and management. Emergency consultation to urologist on call was initiated, the diagnosis was confirmed by CT scan and the patient was taken to the theatre. Conclusion: We report this case as it is unique in presentation, very rare in occurrence and bedside US had expedited further workup and management.

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Published
2020-02-23
How to Cite
1.
Rahaman A, Saad-Abdullah A-N, Suresh K. Spontaneous Rupture of Urinary Bladder Diagnosed by Bedside Ultrasound; a Case Report. Adv J Emerg Med. 4(3):e80.
Section
Case (report / study)