Intraperitoneal bladder rupture and the wearing of rear seat-belts--a case report.

Traumatic rupture of the urinary bladder occurring in isolation is very rare, it is generally considered to be an associated injury; one major review quoting that in 89% of patients with bladder rupture other serious injuries were present (Cass & Luxenberg, 1987). In only two previously reported cases has traumatic bladder rupture been associated with the wearing of seat belts (Denis et al., 1983). Raised serum urea and creatinine in association with urinary tract disruption of many hours duration has been previously reported (Sawyer et al., 1987), but very rapid rises have not.