요로감염 소아에서 동위원소 배뇨성 방광요도조영술 후 발생한 방광파열 1례

A Case of Intraperitoneal Bladder Rupture after Isotope Voiding Cystourethrography in a Child with Urinary Tract Infection

  • 남승연 (이화여자대학교 의과대학 소아과학교실) ;
  • 김진아 (이화여자대학교 의과대학 소아과학교실) ;
  • 황수자 (이화여자대학교 의과대학 소아과학교실) ;
  • 박은애 (이화여자대학교 의과대학 소아과학교실) ;
  • 이승주 (이화여자대학교 의과대학 소아과학교실) ;
  • 이선화 (이화여자대학교 의과대학 방사선과학교실) ;
  • 정우식 (이화여자대학교 의과대학 비뇨기과학교실)
  • Nham Seung-Yeon (Department of Pediatrics, Ewha Womans University, College of Medicine) ;
  • Kim Jin-Ah (Department of Pediatrics, Ewha Womans University, College of Medicine) ;
  • Hwang Soo-Ja (Department of Pediatrics, Ewha Womans University, College of Medicine) ;
  • Park Eun-Ae (Department of Pediatrics, Ewha Womans University, College of Medicine) ;
  • Lee Seung-Joo (Department of Pediatrics, Ewha Womans University, College of Medicine) ;
  • Lee Sun-Wha (Department of Radiology, Ewha Womans University, College of Medicine) ;
  • Chung Woo-Sik (Department of Urology, Ewha Womans University, College of Medicine)
  • 발행 : 1997.05.01

초록

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.

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