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

ABSTRACT

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