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Spontaneous intraperitoneal bladder rupture is a rare urological case. Repair usually done by operation and conservative management was unusual. We present a case of a 43-year-old man who presented to ED with lower abdominal pain and distension. He underwent a cystoscopy, several rupture and thin bladder wall was found. We decided to managed the patient conservatively with urinary catheter for 1 month. Upon follow up, the patient was in good condition. Conservative treatment with urinary catheter for 1 month may be considered in patients who are in good condition, do not have signs of peritonitis and sepsis.