Conservative management is a reasonable option in intraperitoneal bladder rupture.

OBJECTIVE

To demonstrate that conservative management of intraperitoneal bladder rupture is a safe option.

METHOD: We report two cases of intraperitoneal bladder rupture, one spontaneous and another after urological manipulation. A 28-year-old man with acute abdomen after a heavy alcohol intake, and an 83-year-old woman with abdominal distention after a transurethral resection of the bladder.

RESULT: Both cases were treated with intraperitoneal fluid evacuation and maintenance of urinary catheter without incidents.

CONCLUSIONS

Conservative management with drainage of ascites in combination with a radiological studies and optimal antibiotic treatment can prevent more invasive maneuvers such as exploratory laparotomy or laparoscopy.