radiological puzzle: incidental genitography leading to peritoneal extravasation of contrast medium, during voiding cysto-urethrography, in a patient with urogenital sinus

While attempting cysto-urethrography and genitography in a nine-year-old female there was extravasation of the contrast medium to tHe peritoneal cavity during voiding cysto-urethrography [VCU] due to congenital adrenal hyperplasia [CAH]. Spillage of peritoneal contrast medium during VCU is extremely rare, even in patients with CAH and a persistent uro-genital sinus. Early fluoroscopic detection is essential, in recognizing the occurrence of spillage amid preventing further unnecessary injection of contrast medium into the peritoneal cavity

Dermal sinus, intramedullary dermoid cyst and multiple spinal abscesses: a rare combination with serious clinical implications

A rare combination of multiple intradural spinal abscesses in association with a dermal sinus and intraconal cyst in a 3-month-old child is presented. Although present at birth, the dermal sinus was unappreciated until complicated by intradural abscess. Clinical progression to intramedullary abscess resulted in rapid neurological deterioration. The extent of infection was well characterised on MRI and prompt surgical intervention resulted in complete neurological recovery