This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Urinary bladder, Subject name: Surgery
Intraperitoneal bladder rupture management: 
Select and explain. 
A. Antegrade cystogram is needed, B. Requires laparotomy, C. Simple catheter drainage is the treatment, D. Conservative management
B: Requires laparotomy
Answer: B: Requires laparotomy 
Explanation: Intraperitoneal Rupture (20%) Blow, kick or fall on fully distended bladder Apa from classic triad suggestive of bladder rupture (Suprapublic pain and tenderness + difficulty in ability to pass urine + hematuria) patients develop Peritonitis and abdominal distention. Diagnosis is made by Retrograde cystography or CT cystography. Laparotomy with peritoneal lavage and bladder repair with SPC should be done. Cystography demonstrates typical Sun - burst appearance.