Rupture of the urinary bladder without trauma and without a predisposing pathologic condition is sufficiently rare to justify the report of a case.
L. F., a man, Spanish, aged 34, entered the hospital the evening of Aug. 3, 1935. About eighteen hours before, while straining to void, he had a sudden severe pain in the lower part of the abdomen, which caused him to faint. He had been playing cards for four hours and had not voided during that time. A high-ball was taken before dinner; otherwise there had been no ingestion of liquor. This was corroborated by others present at the time, as was also his statement of having had no injury. Previous to this his health was excellent, and he had never had any genito-urinary symptoms.
A physician was called, and because of the complete absence of any previous or present genito-urinary symptoms the patient
Barnes RW, Steele A. SPONTANEOUS INTRAPERITONEAL RUPTURE OF THE NORMAL URINARY BLADDER. JAMA. 1935;105(22):1758. doi:10.1001/jama.1935.92760480001007
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