RT Journal Article SR Electronic T1 Spontaneous intraperitoneal rupture of a neurogenic bladder; the importance of ascitic fluid urea and electrolytes in diagnosis. JF Postgraduate Medical Journal JO Postgrad Med J FD The Fellowship of Postgraduate Medicine SP 999 OP 1000 DO 10.1136/pgmj.63.745.999 VO 63 IS 745 A1 Ramcharan, K. A1 Poon-King, T. M. A1 Indar, R. YR 1987 UL http://pmj.bmj.com/content/63/745/999.abstract AB Spontaneous intraperitoneal bladder rupture in a 38 year old man with a spastic paraparesis since infancy is described. Delayed diagnosis resulted in peritoneal autodialysis so providing an opportunity for documentation of biochemical abnormalities. Surgery resulted in a successful outcome. The literature on this rare condition is outlined and difficulties in diagnosis are discussed. The diagnostic value of urea and electrolyte levels in ascitic fluid is emphasized.