PT - JOURNAL ARTICLE AU - Nancy Lutwak AU - Curt Dill TI - Urosepsis complicated by a spontaneous bladder perforation AID - 10.1136/bcr.08.2011.4609 DP - 2011 Nov 09 TA - BMJ Case Reports PG - bcr0820114609 VI - 2011 4099 - http://casereports.bmj.com/content/2011/bcr.08.2011.4609.short 4100 - http://casereports.bmj.com/content/2011/bcr.08.2011.4609.full AB - 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.