GENERALIZED PERITONITIS CAUSED BY SPONTANEOUS INTRAPERITONEAL RUPTUREOF THE URINARY-BLADDER

We report a case of generalized peritonitis caused by spontaneous intr aperitoneal rupture of the urinary bladder. A 74-year-old female was a dmitted with abdominal pain and biochemical findings of acute renal fa ilure (ARF). She had recently complained of macrohematuria. She had a past history of radiotherapy for uterine cervical cancer and Parkinson 's disease treated with levodopa and amantadine. We diagnosed this cas es as intraperitoneal rupture of the bladder by cystogram. Biochemical findings of ARF might have resulted from urine reabsorption. Intraper itoneal rupture of the bladder should be considered in all cases of pe ritonitis, especially in patients with urological symptoms and feature s of ARF.