Injury to the lower urinary tract is relatively uncommon in the setting of blunt trauma. Identification of serious intra-abdominal injury is often challenging. Bladder injuries occur most often from external force and are often associated with pelvic fractures. Typically, these patients have a history of pelvic trauma, which is fairly straightforward for motor vehicle accidents, deceleration injuries, or assaults to the lower abdomen. Here, we describe a case of bladder rupture not associated with pelvic fracture in a 58-year-old man. The “seat-belt sign” and gross hematuria were present. Emergency surgery was performed with excellent results and he was discharged in stable condition