Rupture of the Full Bladder

Abstract

SUMMARY In the absence of pathology in its wall, the full bladder ruptures with a longitudinal tear in the peritonealised area of its wall. It has been shown that the supports of the bladder determine the site of the rupture and that developmental weakness in its wall is not significant.

(iv) Pelvic fractures and genitourinary injuries

“…2,3,25 Symphyseal plating can be done under the same anaesthetic and appears to have an acceptable risk of infection when performed within 48 h of placement of the suprapubic catheter. 1 Beyond this point, alternative methods such as external fixation should be considered.…”

Recurrent spontaneous rupture of the urinary bladder

“…It has been proposed that overdistension of the bladder combined with decreased sensation can lead to a rupture during alcoholic intoxication 5 . There are many other conditions which have been postulated as leading to bladder rupture, such as repeated coughing or staining, 6 general debility, irradiation cystitis 2 and ischaemia, none of which was present in this case. Heyns et al 3 quotes 31 conditions which can lead to rupture of the bladder.…”

Spontaneous intraperitoneal rupture of the urinary bladder

“…The site and size of the rupture may indicate the underlying pathology. Large tears in the posterior pwritoneal wall usually occur in the presence of a distended bladder (Oliver and Taguchi, 1964). This suggests a preceding bladder neck obstruction, for example, prostatic hypertrophy, and more definitive surgery may be required.…”