e Abstract-Although a few cases of bladder wall rupture have been reported in the literature in association with bladder wall disease, idiopathic rupture of the bladder without injury remains an uncommon phenomenon. We report the case of a patient presenting to the Emergency Department with diffuse abdominal pain from spontaneous bladder rupture in association with an acute alcohol binge. Although cases of spontaneous bladder rupture in association with alcohol use were historically associated with high morbidity and mortality, prompt identification and treatment can lead to favorable outcomes.