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Spontaneous rupture of the bladder during vomiting
  1. Ruairidh Crawford,
  2. Thomas Richard William Oliver,
  3. Hamid Abboudi,
  4. Shahzad Shah
  1. West Hertfordshire Hospitals NHS Trust, Watford, UK
  1. Correspondence to Ruairidh Crawford, ruairidh.crawford{at}


A 46-year-old woman with no urological history or comorbidities presented with an acute abdomen with haematuria after a spell of protracted vomiting. The initial cystogram was negative; however, CT imaging highly suggested an intraperitoneal bladder perforation, which was confirmed during laparotomy and subsequently repaired. Cystoscopic evaluation prior to laparotomy revealed no concurrent bladder pathology, and the ureteric orifices were intact. A cystogram 2 weeks after repair demonstrated no leaks, and her catheters were removed. She recovered well, with expectant postoperative pain and lower urinary tract symptoms settling on 3-month review. Spontaneous bladder rupture is a rare entity, with very few reports in the literature.

  • urological surgery
  • foodborne infections
  • radiology
  • urinary and genital tract disorders

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  • Contributors All authors were involved in the care of the patient during her admission at Watford General Hospital. The article was written by RLHC, and the literature review by TRWO and HA. The finished article was edited by SS, who was the consultant in charge of the patient's care.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.