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Spontaneous Rupture of Urinary Bladder Associated With Massive Fecal Impaction
American Journal of Forensic Medicine and Pathology, 08/21/09

Chute DJ et al. – The authors report a case of sudden death due to a catastrophic spontaneous rupture of a urinary bladder associated with megacolon due to a fecal impaction. The massively distended rectum and sigmoid colon filled the pelvic cavity and pressed up against the posterior aspects of the uterus, vagina, and urinary bladder. This produced bladder outlet obstruction, followed by massive dilatation and rupture of the urinary bladder, bilateral hydronephrosis, and a 3.5 liter collection of urinary fluid within the abdominal cavity.

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