Extravasation of the Contrast Material During Voiding Cystourethrography in a Chronic Spinal Cord Injury Patient: A Case Report.
Sohyun KwonDonghwi ParkHoon Hoon LeeJu Seok RyuPublished in: Annals of rehabilitation medicine (2017)
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.
Keyphrases
- spinal cord injury
- end stage renal disease
- spinal cord
- urinary tract
- ejection fraction
- neuropathic pain
- newly diagnosed
- chronic kidney disease
- magnetic resonance
- case report
- peritoneal dialysis
- randomized controlled trial
- prognostic factors
- healthcare
- patient reported outcomes
- contrast enhanced
- patient reported
- drug induced