Description of the clinical case:

A 59-year-old male with a history of lower urinary obstructive symptoms presented to the emergency department with a clinical picture of acute abdomen and hematuria of 10 days of evolution. Spontaneous bladder rupture associated with a complication of bladder diverticulum rupture was diagnosed.

Relevance:

Spontaneous bladder rupture is a rare condition that can be fatal. In general, this pathology presents with non-specific symptoms, so it is necessary to think about the diagnosis. The case of spontaneous bladder rupture is presented and how the diagnosis was reached, for timely treatment.

Clinical implications:

In a patient with a clinical picture of acute abdomen, nitrogen elevation and hematuria in the context of a history of bladder emptying problems, it is important to consider the diagnosis of spontaneous bladder rupture.

Conclusions:

Spontaneous rupture of a bladder diverticulum is a very rare entity that presents with nonspecific clinical symptoms and signs. Suspicion should be high when assessing a patient with an acute abdomen, elevated creatinine, and hematuria.