Tehran University of Medical Sciences

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Bladder Rupture After Voiding Cystourethrography: A Case Report and Literature Review on Pitfalls and Bladder Volume Estimation Publisher



Keihani S1 ; Kajbafzadeh AM1
Authors
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Authors Affiliations
  1. 1. Pediatric Urology Research Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, No.62, Dr. Gharib's Street, Keshavarz Blvd, Tehran, 1419733151, Iran

Source: Canadian Urological Association Journal Published:2015


Abstract

Voiding cystourethrography (VCUG) is a common diagnostic study in pediatric urology. Although generally considered a safe procedure, VCUG can incur some complications. Bladder rupture following VCUG is a very rare complication and mostly happens in the setting of unused bladders, previous surgeries, or underlying disease. The rupture is almost always intraperitoneal needing prompt surgical treatment. We present a unique case of extraperitoneal bladder rupture after VCUG in an 8-month-old boy. The rupture remained unnoticed and the patient recovered spontaneously without medical or surgical intervention. To the best of our knowledge, this is the first such case report in the English literature. The information provided may guide clinicians on the proper use of bladder volume formulas in children and also help them in getting a proper VCUG study. © 2015 Canadian Urological Association.