Rupture of the Urinary Bladder from Binge Drinking

Patient selection: patient in a period of binge drinking

Risk factors for bladder rupture:

(1) bladder outlet obstruction

(2) ingestion of a large amount of liquids

(3) structural weakness of the bladder wall (severe cystitis, surgical scar, diverticulum, etc)

(4) profound intoxication, so unable to recognize the need to void, especially if the person is also abusing drugs

Clinical features:

(1) pelvic pain

(2) urine ascites

Differential diagnosis:

(1) bladder rupture due to blunt trauma