Spontaneous bladder rupture following enterocystoplasty can be treated conservatively.

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