What are the symptoms of a ruptured bladder?

As a medical professional, I can provide you with information on the symptoms of a ruptured bladder. A ruptured bladder is a serious medical condition that requires immediate attention. The symptoms can vary depending on whether the rupture is extraperitoneal (outside the peritoneal cavity) or intraperitoneal (inside the peritoneal cavity). **Symptoms of a ruptured bladder may include:** 1. Suprapubic pain: This is pain felt in the lower abdomen, just above the pubic bone. 2. Inability to void: The patient may find it difficult or impossible to urinate. 3. Hematuria: Blood in the urine is a common sign and can be gross (visible to the naked eye) or microscopic (only detectable under a microscope). 4. Suprapubic tenderness: The area above the pubic bone may be tender to the touch. 5. Distention: The bladder area may feel swollen or distended. 6. Hypovolemic shock: This is a life-threatening condition that can occur due to significant blood loss or leakage of fluid into the abdomen (hemorrhage). 7. Peritoneal signs: In the case of an intraperitoneal rupture, there may be signs of peritonitis, which include abdominal rigidity, rebound tenderness, and guarding. It's important to note that blunt trauma to the bladder can cause a rupture, and this is often associated with a pelvic fracture and gross hematuria.

Symptoms may include suprapubic pain and inability to void; signs may include hematuria, suprapubic tenderness, distention, hypovolemic shock (due to hemorrhage), and, in the case of intraperitoneal rupture, peritoneal signs. Blunt bladder ruptures almost always present with a pelvic fracture and gross hematuria.