Extravasation of the Contrast Material During Voiding Cystourethrography in a Chronic Spinal Cord Injury Patient: A Case Report
Annals of Rehabilitation Medicine
;
: 323-327, 2017.
Article
in English
| WPRIM
| ID: wpr-62318
ABSTRACT
Neurogenic bladder is common in most spinal cord injury patients. Voiding cystourethrography (VCUG) is recommended in these patients to detect urinary tract complications. However, rare but serious complications may occur during VCUG, although VCUG is generally safe. There are several case reports of bladder rupture occurring in pediatric patients. Here, we report the first case of iatrogenic bladder rupture in an adult spinal cord injury patient in Korea. Particularly, extravasation of contrast without manual instillation has hardly ever been reported. To the best of our knowledge, this is the first reported case of bladder rupture without manual instillation during VCUG. We report a case of a 59-year-old female with paraplegia due to tuberculous spondylitis who underwent VCUG as a part of routine evaluation of neurogenic bladder. Extravasation of the contrast media during VCUG developed as a complication and the patient recovered spontaneously without any intervention. Therefore, VCUG should be performed properly in chronic spinal cord injury patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Rupture
/
Spinal Cord
/
Spinal Cord Injuries
/
Spondylitis
/
Urinary Tract
/
Urinary Bladder
/
Urinary Bladder, Neurogenic
/
Contrast Media
/
Korea
Limits:
Adult
/
Female
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2017
Type:
Article
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