Conservative treatment of an intraperitoneal bladder perforation

INTRODUCTION: The management of bladder rupture depends on its anatomical location. MATERIAL AND METHODS: Case report and review of the pertinent English language literature. RESULTS: A 56-year-old man with history of an anterior rectum resection with partial cystectomy presented with signs of acute renal failure, and later with a tender, distended abdomen. Work-up including serum and ascites biochemistry, cystoscopy, and CT cystography diagnosed urinary ascites. The small intraperitoneal bladder rupture was treated conservatively via continued urinary drainage under urinary antibiotic prophylaxis until closure. CONCLUSION: A conservative treatment of a small intraperitoneal bladder perforation is possible under certain conditions.