SPONTANEOUS rupture of the urinary bladder is unassociated with immediately antecedent trauma of sufficient force to cause perforation in the normal organ. In 1943 Marbury and Fry1 reported the first case of recurrent spontaneous rupture of the urinary bladder. Their patient was a 37 year old white man, with chronic alcoholism, in whom spontaneous perforation occurred after a debauch in April 1940 and again in March 1941. He had had syphilis, previously treated, and they believed that the contributing factors were overdistention following alcoholism and possibly a cord bladder.
The next reported case is that of Pole2 in 1944. His patient was a 32 year old Negro with a previous history of gonorrheal stricture and urinary retention that had required closed trochar bladder drainage. In 1940 he had been treated for an abscess of the space of Retzius, and in 1942 a large intraperitoneal abscess, presumed due to
CRASTNOPOL P, ARTZ R, ROSETT L. RECURRENT SPONTANEOUS RUPTURE OF THE URINARY BLADDERReport of the Fourth Case. Arch Surg. 1950;60(6):1093-1101. doi:10.1001/archsurg.1950.01250011118006