Diagnosis is made by Retrograde cystography

Intraperitoneal Rupture

• Blow, kick or fall on fully distended bladder Apart from classic triad suggestive of bladder
rupture (Suprapublic pain and tenderness + difficulty in ability to pass urine + hematuria) patients develop Peritonitis and abdominal distention.

• Diagnosis is made by Retrograde cystography or CT cystography.
Laparotomy with peritoneal lavage and bladder repair with SPC should be done.
Cystography demonstrates typical Sun - burst appearance