Extravasation of the Contrast Material During Voiding Cystourethrography in a Chronic Spinal Cord Injury Patient: A Case Report
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (10)
- Perkash I, "Long-term urologic management of the patient with spinal cord injury", Urol Clin North Am, 20, pp.423~434 (1993)
- McAlister WH, "Complications associated with cystography in children", Radiology, 111, pp.167~172 (1974)
- Wosnitzer M, "Bladder rupture in premature infant during voiding cystourethrography", Urology, 66, pp.432~ (2005)
- Keihani S, "Bladder rupture after voiding cystourethrography: a case report and literature review on pitfalls and bladder volume estimation", Can Urol Assoc J, 9, pp.E826~829 (2015)
- Kajbafzadeh AM, "Infantile bladder rupture during voiding cystourethrography", Int Braz J Urol, 33, pp.532~535 (2007)
- Santucci RA, "Bladder injuries: evaluation and management", Braz J Urol, 26, pp.408~414 (2000)
- Matsumoto AH, "Bladder mucosal tears during voiding cystourethrography in chronic renal failure", Urol Radiol, 8, pp.81~84 (1986)
- Landau EH, "Loss of elasticity in dysfunctional bladders: urodynamic and histochemical correlation", J Urol, 152, pp.702~705 (1994)
- Hackler RH, "Bladder hypocompliance in the spinal cord injury population", J Urol, 141, pp.1390~1393 (1989)
- Kovindha A, "Extravasation of the contrast media during voiding cystourethrography in a long-term spinal cord injury patient", Spinal Cord, 43, pp.448~449 (2005)