Urinary bladder rupture during voiding cystourethrography

Kyong Ok Lee, Se Jin Park, Jaeil Shin, Suk Young Lee, Kee Hyuck Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Voiding cystourethrography (VCUG) is a commonly performed diagnostic procedure for the evaluation of vesicoureteral reflux with urinary tract infection or congenital renal diseases in children. The procedure is relatively simple and cost-effective, and complications are very rare. The iatrogenic complication of VCUG range from discomfort, urinary tract infection to bacteremia, as well as bladder rupture. Bladder rupture is a rare complication of VCUG, and only a few cases were reported. Bladder rupture among healthy children during VCUG is an especially uncommon event. Bladder rupture associated with VCUG is usually more common in chronically unused bladders like chronic renal failure. Presented is a case of bladder rupture that occurred during a VCUG in a healthy 9-monthold infant, due to instilled action of dye by high pressure. This injury completely healed after 7 days of operation, and it was confirmed with a postoperative cystography. The patient's bladder volume, underlying disease, velocity of the contrast media instilled, catheter size, and styles of instillation are important factors to prevent bladder rupture during VCUG. Management of bladder rupture should be individualized, but the majority of infants are treated with the operation. In conclusion, bladder rupture is a rare complication, however, delicate attention is needed in order to prevent more dire situations.

Original languageEnglish
Pages (from-to)181-184
Number of pages4
JournalKorean Journal of Pediatrics
Volume55
Issue number5
DOIs
Publication statusPublished - 2012 Jan 1

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Rupture
Urinary Bladder
Urinary Tract Infections
Vesico-Ureteral Reflux
Bacteremia
Contrast Media
Chronic Kidney Failure
Coloring Agents
Catheters
Kidney
Pressure
Costs and Cost Analysis
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Pediatrics

Cite this

Lee, Kyong Ok ; Park, Se Jin ; Shin, Jaeil ; Lee, Suk Young ; Kim, Kee Hyuck. / Urinary bladder rupture during voiding cystourethrography. In: Korean Journal of Pediatrics. 2012 ; Vol. 55, No. 5. pp. 181-184.
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Urinary bladder rupture during voiding cystourethrography. / Lee, Kyong Ok; Park, Se Jin; Shin, Jaeil; Lee, Suk Young; Kim, Kee Hyuck.

In: Korean Journal of Pediatrics, Vol. 55, No. 5, 01.01.2012, p. 181-184.

Research output: Contribution to journalArticle

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