Although spontaneous rupture of tuberculous bladder is rare, it ranks first among spontaneous bladder ruptures. According to European and American literature, the most common cases of spontaneous bladder rupture occurred in bladder tuberculosis, with 10 cases accounting for 12.5%. Among the 18 cases of spontaneous bladder rupture reported in China, 11 were caused by bladder tuberculosis. Among the 5 cases of spontaneous bladder rupture treated in our hospital between 1970 and 1975, 4 were tuberculous. Therefore, it should be taken seriously clinically. The age of onset of this disease is mostly between 15 and 25 years old. There is no obvious difference in gender in foreign data. However, the 15 cases of spontaneous rupture of tuberculous bladder in domestic data were all females.