Abdome agudo: ruptura espontânea de bexiga como um importante diagnóstico diferencial / Acute abdomen: spontaneous bladder rupture as an important differential diagnosis

A case of spontaneous perforation of the bladder in a diabetic female patient is reported. It is a rare clinical condition, that should be suspected in patients with a past history of radiotherapy to the pelvis, enterocystoplasty and those suspected of having a tumor in the bladder. A general surgeon should be aware of this possibility in the differential diagnosis of an acute abdomen.