Spontaneous Extraperitoneal Bladder Rupture Because of Chronic Appendicitis

Bradley A. Morganstern, Robert Viviano, Sammy Elsamra

Research output: Contribution to journalArticlepeer-review


A 62-year-old man presented to the emergency department with an episode of syncope after 2-3 weeks of diffuse abdominal pain, now complaining of a severe increase in pain concurrent with >24 hours of no urine output. His workup showed an idiopathic extraperitoneal rupture of the bladder on computed tomography, which was handled conservatively with Foley insertion. Repeated follow-up and imaging showed no resolution or etiology over 2 months. The patient underwent exploratory laparotomy that showed an elongated appendix with a chronic tip appendicitis that had induced bladder rupture by chronic inflammatory changes. After repair, the patient had no further complaints.

Original languageEnglish (US)
Pages (from-to)7-9
Number of pages3
JournalUrology Case Reports
Issue number1
StatePublished - Dec 2013
Externally publishedYes


  • Appendicitis
  • Bladder rupture
  • Extraperitoneal
  • Vesicoenteric fistula

ASJC Scopus subject areas

  • Urology


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