Reviewer ’s report  
 
Title: Delayed diagnosis of spontaneous bladder rupture: A rare case report  
 
Version: 0 Date: 04 Mar 2018  
 
Reviewer: Alireza Ghoreifi  
 
Reviewer's report:  
The case is interesting but the authors should consider different points to enhance the quality of 
their presentation:  
Title:  
It is better to show the novelty of this case report; for example the late onset diagnosis or the 
normal CT cystography and MRI.  
Abstract:  
Should be summarized and revised according to the points below.  
Background:  
This part should include the rarity of the report and the reason of presentation. Also it is better to 
omit the author names (like "Based on the report by Peters") while they are mentioned in the 
reference part.  
Case Presentation:  
The authors should mentio n the state of the delivery (e.g. the labor time, episiotomy) and the 
characteristics of the child (lie, weight).   
One the most important diagnostic tools in this patient was the evaluation of the ascites fluid. 
Was it done or not? If yes what was the res ult?  
According to the figures CT and MRI was supposed to be normal but the authors mentioned that 
the diagnosis was confirmed by MR, CT, cystoradiography and cystoscopy. They should explain 
it. 
Some of the figures like figure 2 is not necessary. Also figu res 3 -5 can be shown in one figure.  
Discussion:  
The authors should mention the previous reports about this issue and add more citations. Also 
they should discuss more about the etiology of the event in this patient and the diagnostic 
process. Furthermore they should omit the points that previously mentioned in the previous part. 
So the discussion part should be fully revised.  
 The conclusion:  
This part should be completely revised. Most of the sentences can not be concluded from the 
article. Furthermore t he last sentence which is referred to another citation should be omitted from 
this part.  
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
Unable to assess  
Does the work include the necessary controls?  
If not, please specify which  controls are required in your comments to the authors.  
Unable to assess  
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
No 
Are you able to assess any statistics in the manuscript or would you recommend an 
additional statistical review?  
If an additional statistical review is recommended, please specify what aspects require further 
assessment in your comments to the editors.  
Not relevant to this manuscript  
Quality of written English  
Please indicate the quality of language in the manuscript:  
Needs some language corrections before being published  
Declaration of competing interests  
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1. Have you in the past five years received reimbursements, fees, funding, or salary from an 
organisation that may in any way gain or lose financially from the publication of this 
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financi ally from the publication of this manuscript, either now or in the future?  
3. Do you hold or are you currently applying for any patents relating to the content of the 
manuscript?  
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holds or has applied for patents relating to the content of the manuscript?  
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