Infantile bladder rupture during voiding cystourethrography

Abstract

Bladder rupture is rare during infancy and most of reported cases had urethral obstruction or neurogenic bladder. We report two cases of infantile bladder rupture during voiding cystourethrography (VCUG). This report reinforces the criteria for proper VCUG imaging procedure. Consideration of expected bladder volume for body weight, and close monitoring of bladder pressure and injection speed could prevent such complications.

Bladder rupture after voiding cystourethrography: A case report and literature review on pitfalls and bladder volume estimation

“…5 Manual instillation (as happened in this case) should be avoided due to risk of rapid pressure increase and consequent bladder Bladder rupture following VcUg rupture. 5,7 The dome of the bladder is the weakest part, 11 and most of the previously reported cases suffered a rupture in the dome area and all (except one 9 ) had intraperitoneal bladder rupture necessitating surgical intervention (Table 1). However, in our case the rupture was extraperitoneal and most probably happened through a weak point at left side of the bladder wall (Fig.…”

“…3 Bladder rupture during VCUG in an otherwise healthy child is even rarer. [4][5][6][7][8][9][10][11] To the best of our knowledge, this is the first reported case of an asymptomatic extraperitoneal bladder rupture with spontaneous healing.…”

Extravasation of the Contrast Material During Voiding Cystourethrography in a Chronic Spinal Cord Injury Patient: A Case Report

“…This might be due to a thin bladder wall and excessive amount of volume infused into the bladder [5]. Here, we report a unique case of extraperitoneal bladder rupture after VCUG in an adult spinal cord injury patient.…”

Iatrogenic Bladder Rupture in a Child Following Voiding Cystourethrography and Its Laparoscopic Management

“…In order to perform a safe and perfect VCUG, radiologists must pay attention to certain factors such as bladder volume, method of contrast media instillation, and patient condition (e. g., underlying urinary disease) [8] . Kajbafzadeh et al presented 2 cases of infantile bladder rupture during VCUG who immediately underwent abdominal exploration due to the intraperitoneal nature of the defect [9] . Khavari et al presented a case of iatrogenic extraperitoneal bladder rupture in a healthy, normal child during the fi lling phase of a voiding cystourethrography performed using a routine gravity technique.…”