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Introduction: Encrusted cystitis is extremely rare and severe chronic infection of the bladder causing intolerable function and serious consequences for the patient. Case Report: Herein, we report a new case of encrusted cystitis complicated by rupture of the bladder, septic peritonitis and uroperitoneum, and digestive fistula in a 57-year-old male and review literature. Conclusion: Encrusted cystitis is a severe entity that its evolution is unpredictable and it may be complicated by urinary bladder rupture that should be considered.

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