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When ascites is not ascites
  1. A Sharma1,
  2. B Teh1,
  3. D J R Morgan1,
  4. D Bell1,
  5. C Woodhouse2
  1. 1
    Chelsea & Westminster Hospital NHS Foundation Trust, London SW10 9NH, UK
  2. 2
    University College London NHS Foundation Trust, London NW1 2BU, UK
  1. Dr A Sharma, c/o Dr D J R Morgan, Department of Medicine & Therapeutics, Imperial College School of Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK; avinash.sharma{at}


The case is reported of a patient presenting with ascites and acute renal failure resulting from spontaneous rupture of the urinary bladder, 30 years after the successful initial treatment of childhood rhabdomyosarcoma. The delay in the presentation until the patient began to experience the symptoms due to urinary ascites, the diagnostic dilemma because of the rarity of the condition, and the possible aetiologies are discussed.

  • spontaneous bladder rupture
  • bladder
  • rhabdomyosarcoma
  • ascites

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  • Funding: None.

  • Competing interests: None.

  • Patient consent: Obtained.