# Generalized Peritonitis Secondary to Spontaneous Rupture of the Urinary Bladder

## TL;DR

A rare case of bladder rupture causing peritonitis is reported, highlighting the importance of accurate diagnosis for this life-threatening condition.

## Contribution

This case report adds to the understanding of spontaneous bladder rupture and its clinical presentation.

## Key findings

- A 70-year-old woman presented with generalized peritonitis due to a ruptured urinary bladder.
- The rupture was identified during exploratory laparotomy and successfully treated.
- The patient had a history of cancer, hypertension, and recurrent UTIs, which may have contributed to the condition.

## Abstract

A spontaneous rupture of the urinary bladder (SRUB) is an exceedingly rare surgical emergency that might be misdiagnosed, resulting in a high mortality risk. Clinicians should be mindful that secondary peritonitis can occur as a result of a ruptured urinary bladder, which is frequently misdiagnosed and undertreated. The majority of cases are identified during laparotomy.

We report a case of a 70-year-old woman who had irradiation for endometrial cancer 25 years ago and had a history of hypertension, diabetes, and recurring urinary tract infections. The current study sought to determine the etiology of SRUB as well as clinical aspects and diagnostic strategies. She was diagnosed with generalized peritonitis.

An exploratory laparotomy discovered a perforated urinary bladder. Following further care, the patient was released with no further complaints.