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 CASE REPORT
Year : 2007  |  Volume : 53  |  Issue : 1  |  Page : 39-40

Splenic rupture following idiopathic rupture of the urinary bladder presenting as acute abdomen


1 Department of Surgery, General Hospital, "Dr. J. Bencevic", A. Stampara 42, 35000 Slavonski Brod, Croatia
2 University Hospital "Sestre milosrdnice", Vinogradska 29,10 000 Zagreb, Croatia

Correspondence Address:
D Jurisic
Department of Surgery, General Hospital, "Dr. J. Bencevic", A. Stampara 42, 35000 Slavonski Brod, Croatia

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.30326

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Idiopathic rupture of the urinary bladder is an uncommon condition and represents less than 1% of all bladder rupture cases. In most of the cases the main etiological factor was heavy alcohol ingestion. A combined injury of the spleen and bladder is a very rare condition that is almost often associated with trauma and foreign bodies. In this paper we present the extremely rare clinical course of acute abdomen caused by a combined spontaneous intraperitoneal injury; spontaneous rupture of the urinary bladder and spleen. According to our opinion, spontaneous bladder rupture caused by bladder distension due to alcohol ingestion led to urinary ascites and abdominal distension. Finally, repeated minor abdominal blunt trauma during everyday life, to a moderately distended abdomen caused a spontaneous splenic rupture in the patient with abnormal coagulation studies.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow