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Reminder of important clinical lesson
Urosepsis complicated by a spontaneous bladder perforation
  1. Nancy Lutwak1,
  2. Curt Dill2
  1. 1Department of Emergency Services, VA New York Harbor Healthcare Center, New York, United States
  2. 2Department of Emergency Medicine, VA New York Harbor Healthcare Center, NYU School of Medicine, New York, United States
  1. Correspondence to Dr Nancy Lutwak, nancy.lutwak{at}


The authors present a case of a 72-year-old diabetic male s/p pelvic irradiation for prostate carcinoma who arrived in the emergency department with complaints of shaking chills. After admission for urosepsis, he developed severe abdominal pain and examination revealed a diffusely tender abdomen. The patient was diagnosed with spontaneous urinary bladder perforation and underwent surgery. After several weeks of intravenous antibiotics, he was discharged with multiple drains in place and bilateral nephrostomy tubes.

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  • Competing interests None.

  • Patient consent Obtained.