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Urinary ascites: spontaneous bladder rupture presenting as acute oliguric renal failure

      Urinary bladder rupture is an uncommon occurrence, usually associated with penetrating or blunt trauma (
      • Shumaker B.P.
      • Pontes J.E.
      • Pierce J.M.
      Idiopathic rupture of the bladder.
      ,
      • Mokoena T.
      • Naidu A.G.
      Diagnostic difficulties in patients with a ruptured bladder.
      ). In rare instances, however, bladder rupture occurs spontaneously (
      • Huffman J.L.
      • Schraut W.
      • Bagley D.H.
      Atraumatic perforation of bladder.
      ). Such patients usually present with severe pain and the clinical picture of an acute abdomen (
      • Huffman J.L.
      • Schraut W.
      • Bagley D.H.
      Atraumatic perforation of bladder.
      ,
      • Marshall G.A.
      • Dixon C.M.
      • McAninch J.W.
      Substance abuse-related spontaneous bladder rupture report of 2 cases and a review of the literature.
      ). We present the case of a patient with painless, nontraumatic bladder perforation who did not seek medical attention until he began to experience symptoms attributable to urinary ascites.
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