SPONTANEOUS BLADDER RUPTURE FOLLOWING ENTEROCYSTOPLASTY CAN BE TREATED CONSERVATIVELY

Spontaneous bladder rupture following enterocystoplasty has been repor ted recently. The etiology remains unclear but appears to be multifact orial. Common factors are a high outlet resistance with total urinary continence and the presence of an augmented, dysfunctional native blad der, which may result in the development of high intravesical pressure s or increased wall tension. We present a case of spontaneous bladder rupture 4 weeks following enterocystoplasty in which a segment of detu bularized ileum was used to augment a contracted bladder. Our patient was treated by continuous bladder drainage for 21 days, antibiotics an d appropriate.supportive care.