A Radiological Puzzle: Incidental Genitography Leading To Peritoneal Extravasation Of Contrast Medium, During Voiding Cysto-Urethrography, In A Patient With Urogenital Sinus

摘要

While attempting cysto-urethrography and genitography in a nine-year-old female there was extravasation of the contrast medium to the peritoneal cavity during voiding cysto-urethrography (VCU) due to congenital adrenal hyperplasia (CAH). Spillage of peritoneal contrast medium during VCU is extremely rare, even in patients with CAH and a persistent uro-genital sinus. Early fluoroscopic detection is essential, in recognizing the occurrence of spillage and preventing further unnecessary injection of contrast medium into the peritoneal cavity