Extravasation of the contrast material during voiding cystourethrography in a chronic spinal cord injury patient: A case report

Sohyun Kwon, Donghwi Park, Hoon Hoon Lee, Ju Seok Ryu

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)323-327
Number of pages5
JournalAnnals of Rehabilitation Medicine
Volume41
Issue number2
DOIs
StatePublished - 1 Apr 2017

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Spinal Cord Injuries
Contrast Media
Rupture
Neurogenic Urinary Bladder
Urinary Bladder
Extravasation of Diagnostic and Therapeutic Materials
Spondylitis
Paraplegia
Korea
Urinary Tract
Pediatrics

Keywords

  • Cystography
  • Neurogenic
  • Spinal cord injuries
  • Urinary bladder

Cite this

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Extravasation of the contrast material during voiding cystourethrography in a chronic spinal cord injury patient : A case report. / Kwon, Sohyun; Park, Donghwi; Lee, Hoon Hoon; Ryu, Ju Seok.

In: Annals of Rehabilitation Medicine, Vol. 41, No. 2, 01.04.2017, p. 323-327.

Research output: Contribution to journalArticle

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