Spontaneous Intraperitoneal Rupture of Urinary Bladder, in a Papillary Cell Urothelial carcinoma of Urinary Bladder - A Rare Case Presentation; Detection with Ultrasound Makes it Even Rarer

Abstract

Spontaneous intraperitoneal rupture of bladder is a rare entity, that too with the advancement of the pre-existing tumour is quite pathetic. The lethal involvement can develop either with  the advancement of existing pathology or due to the damage extended to the bladder wall following treatment mode with chemo-radiations. Since constant instillation of saline into the bladder lumen for  flush off the clots and other tissue debris, to avoid blockage of urine transition through the catheter. Regarding the diagnostic point of view earlier it was quite firmly ascertained with CT Plain Cystography and Contrast CT scan. Later it was super seeded with contrast cystography. But here we are documenting the case which was diagnosed with the aid of USG and Plain CT. Reported cases of spontaneous intraperitoneal rupture of urinary bladder following advanced urothelial carcinoma is extremely rare, over and above diagnostic aid  with the Ultrasound to find or make a diagnosis is hardly reported. Manning with the available modalities to conclude such a rare incident was  helped the Urologist tackle the menace without much complications as they were anticipated.