Intraperitoneal rupture of the urinary bladder

Intraperitoneal rupture of the urinary bladder is a rare complication after circumcision.

Many complications have been documented following circumcision. A study reports on a rare case of intraperitoneal bladder rupture in a 7-day-old baby who was circumcised on his second day using the guillotine method. He presented to them with gangrene of the tip of the penis and a failure to void urine associated with progressive abdominal distension. Ultrasound revealed severe ascites. Aspiration and analysis confirmed the fluid to be urine. Ascending cystourethrogram was performed revealing a perforation of the posterior bladder wall near the trigone. Exploration was performed and repair done. Postoperative course was uneventful.

See also

• Circumcision risks