Pseudo-renal failure from spontaneous bladder rupture after alcohol intake

• SBR is uncommon in young females (no bladder pathology), often linked to alcohol-induced urinary retention. • Intraperitoneal SBR-caused urinary ascites can cause pseudo-renal failure (via creatinine reabsorption, mimicking AKI). • Retrograde cystography is key for diagnosis (shows contrast extravasation). • Surgical repair has excellent outcomes; delayed diagnosis risks peritonitis/metabolic issues. • Consider SBR in intoxicated patients with abdominal pain/oliguria (even minor trauma).