Objective: To demonstrate that conservative management of intraperitoneal bladder rupture is a safe option.
Method: We report two cases of intraperitoneal bladder rupture, one spontaneous and another after urological manipulation. A 28-year-old man with acute abdomen after a heavy alcohol intake, and an 83-year-old woman with abdominal distention after a transurethral resection of the bladder.
Result: Both cases were treated with intraperitoneal fluid evacuation and maintenance of urinary catheter without incidents.
Conclusions: Conservative management with drainage of ascites in combination with a radiological studies and optimal antibiotic treatment can prevent more invasive maneuvers such as exploratory laparotomy or laparoscopy.