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Journal of the Korean Society of Pediatric Nephrology 1997;1(1): 97-100.
요로감염 소아에서 동위원소 배뇨성 방광요도조영술 후 발생한 방광파열 1례
남승연, 김진아, 황수자, 박은애, 이승주, 이선화, 정우식
1이화여자대학교 의과대학 소아과학교실
2이화여자대학교 의과대학 소아과학교실
3이화여자대학교 의과대학 소아과학교실
4이화여자대학교 의과대학 소아과학교실
5이화여자대학교 의과대학 소아과학교실
6이화여자대학교 의과대학 방사선과학교실
7이화여자대학교 의과대학 비뇨기과학교실
A Case of Intraperitoneal Bladder Rupture after Isotope Voiding Cystourethrography in a Child with Urinary Tract Infection
Seung-Yeon Nham, Jin-Ah Kim, Soo-Ja Hwang, Eun-Ae Park, Seung-Joo Lee, Sun-Wha Lee, Woo-Sik Chung
1Department of Pediatrics, Ewha Womans University, College of Medicine
2Department of Pediatrics, Ewha Womans University, College of Medicine
3Department of Pediatrics, Ewha Womans University, College of Medicine
4Department of Pediatrics, Ewha Womans University, College of Medicine
5Department of Pediatrics, Ewha Womans University, College of Medicine
6Department of Radiology, Ewha Womans University, College of Medicine
7Department of Urology, Ewha Womans University, College of Medicine
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ABSTRACT
Rupture or contrast extravasation of urinary bladder after voiding cystourethrography(VCUG) was a very rare complication which occurred in neurogenic or unused bladder. Only one case of bladder extravasation was reported in a girl with normal bladder function. Case: A 18 month-old boy presented with recurrent E. Coli urinary tract infection and was evaluated with isotope VCUG, which was failed to catheter insertion. Two days later, isotope VCUG was repeated with difficult catheter insertion. Two hours after isotope VCUG, gross hematuria and anuria developed, and abdominal distension was followed. Bladder rupture was diagnosed by abdominal sonography and computerized tomography. He was treated with simple closure and suprapubic catheter drainage.
Key words: Bladder rupture | Isotope voiding cystourethrography
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