A Radiological Puzzle: Incidental Genitography Leading To Peritoneal Extravasation Of Contrast Medium, During Voiding Cysto-Urethrography, In A Patient With Urogenital Sinus

B. Venkatraman; R. Kumar

doi:10.5339/qmj.2009.1.22

ISSN: 0253-8253
E-ISSN: 2227-0426

oa A Radiological Puzzle: Incidental Genitography Leading To Peritoneal Extravasation Of Contrast Medium, During Voiding Cysto-Urethrography, In A Patient With Urogenital Sinus
المؤلفون: B. Venkatraman¹ and R. Kumar¹
عرض الانتماءات إخفاء الانتسابات المهنية

االانتسابات المهنيه ¹ Department of Radiology, Hamad Medical Corporation, Doha-Qatar.
Source: Qatar Medical Journal, Volume 2009, Issue 1, مايو ٢٠٠٩, 22
DOI https://doi.org/10.5339/qmj.2009.1.22
- تاريخ النشر الكترونيا: ٠١ مايو ٢٠٠٩

ملخص

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 and preventing further unnecessary injection of contrast medium into the peritoneal cavity

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References

Seema Agrawalla, Rowena Pearce T, Robin Goodman, et al., How to perform the perfect voiding cystourethrogram. Pediatr Radiol. 2004; 34::114–119.
[Google الباحث العلمي]
Zerin JM. Uroradiologic emergencies in infants and children. Department of Radiology, Indiana University Medical Center, Riley Hospital for Children, Indianapolis 46202-5200, USA. Radiol Clin North Am. 1997 Jul; 35:4:897–919.
[Google الباحث العلمي]
Mahayosnond A, Pantongrag-Brown L, O'Charoen P, et al., Extravasation of the contrast in the unused urinary bladder. Department of Radiology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand. J Med Assoc Thai. 2003 Jun; 86:Suppl 2:S318–S322.
[Google الباحث العلمي]
Herman TE, McAlister WH. Radiographic manifestations of congenital anomalies of the lower urinary tract. Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri. Radiol Clin North Am. Mar. 1991; 29:2:365–382.
[Google الباحث العلمي]

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oa A Radiological Puzzle: Incidental Genitography Leading To Peritoneal Extravasation Of Contrast Medium, During Voiding Cysto-Urethrography, In A Patient With Urogenital Sinus

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