%0 Journal Article
%T Case report: Acute peritonitis from non-traumatic rupture of the bladder
%A A Makni
%A Y Ben Safta
%A W Rebai
%A F Fetirich
%A M Jouini
%A M Kacem
%A Z Ben Safta
%J African Journal of Urology
%D 2012
%I 
%X Spontaneous bladder rupture (SBR) is rare. This entity occurs outside of any traumatic context. A 70 years-old man was admitted for acute peritonitis, acute urinary retention and hematuria. Laparotomy and exploration showed acute generalized peritonitis related to a centimeter hole in the bladder dome. Peritoneal lavage was done with biopsy of the perforation edges, a cystostomy and suturing of the bladder. The immediate postoperative course was uneventful. The etiological investigation revealed a locally advanced and metastatic prostate cancer. The evolution was rapidly fatal and the patient¡¯s death occurred two months later due to metastatic disease. The causes, diagnosis and treatment of SBR are reviewed by the authors.
%U http://www.ajol.info/index.php/aju/article/view/84101