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Abstract Background Bladder explosion during transurethral resection of bladder tumors (TURBTs) is a rare and less recognised, but terrifying complication. Case presentation We present a case of 72-year-old male patient of a large bladder tumour who sustained an intravesical explosion during TURBT requiring an emergency exploratory laparotomy and repair. Conclusions Urologists should be cognizant of this unique complication and ensure the necessary techniques and precautions for its prevention.