Two cases of emphysematous cystitis with urinary bladder rupture

Spontaneous urinary bladder rupture due to emphysematous cystitis is a rare and life-threatening complication, which often presents with atypical symptoms leading to delayed diagnosis and treatment. We present two cases of middle-aged Vietnamese females who initially presented with emphysematous cystitis and whose clinical course was complicated by spontaneous urinary bladder rupture as well as a literature review of this uncommon life-threatening urologic complication. Urinary bladder rupture is an uncommon condition which may occur from instrumentation, infection or idiopathic etiologies and requires a high degree of clinical suspicion for diagnosis. Our cases highlight the need for multidisciplinary coordination to manage underlying diseases and in-depth timely evaluation to detect and address potential complications that may arise.