<- Home <- Arhive <- Vol. 23, Issue 1, March 2015

Rom J Leg Med23(1)9-13(2015)
© Romanian Society of Legal Medicine

Idiopathic spontaneous rupture of the urinary bladder - A rare cause of death

B. Ioan, I. Manoilescu, D. D. Șerban, M. Neagu, A. Grigoras, S. Damian

Abstract: Spontaneous rupture of the urinary bladder is a rare clinical condition, with a prevalence of about 1 in 126.000 hospitalizations. Idiopathic rupture is even more rarely encountered, constituting less than 1% of all cases. Given the low incidence, atypical symptoms and poor history data, the diagnosis is often established late and treatment is delayed, resulting in a high rate of mortality. Also, spontaneous rupture of the urinary bladder may be a surprise at the autopsy. In this paper, the authors present the case of a 67 years old woman who died due to idiopathic spontaneous rupture of the urinary bladder after ingestion of alcoholic beverages. The autopsy showed no signs of pathological or traumatic injury and the toxicological examination revealed a blood alcohol concentration of 2.05 g ‰. The case is analyzed in the context of existing literature data, taking into account the elements of anatomy, physiology and pathophysiology that can determine or favour the idiopathic spontaneous rupture of the urinary bladder.
Keywords: Words: urinary bladder, idiopathic spontaneous rupture, alcohol.

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