Extravasation of the Contrast Material During Voiding Cystourethrography in a Chronic Spinal Cord Injury Patient: A Case Report.
10.5535/arm.2017.41.2.323
- Author:
Sohyun KWON
1
;
Donghwi PARK
;
Hoon Hoon LEE
;
Ju Seok RYU
Author Information
1. Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. jseok337@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Urinary bladder;
Neurogenic;
Spinal cord injuries;
Cystography
- MeSH:
Adult;
Contrast Media;
Female;
Humans;
Korea;
Middle Aged;
Paraplegia;
Rupture;
Spinal Cord Injuries*;
Spinal Cord*;
Spondylitis;
Urinary Bladder;
Urinary Bladder, Neurogenic;
Urinary Tract
- From:Annals of Rehabilitation Medicine
2017;41(2):323-327
- CountryRepublic of Korea
- Language:English
-
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.
