Conservative treatment of an intraperitoneal bladder perforation

The management of bladder rupture depends on its anatomical location. Case report and review of the pertinent English language literature. 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. A conservative treatment of a small intraperitoneal bladder perforation is possible under certain conditions.