A radiological puzzle : incidental genitography leading to peritoneal extravasation of contrast medium, during voiding cysto-urethrography, in a patient with urogenital sinus

Abstract EN

While attempting cysto-urethrography and genitography in a nine-year-old female there was extra vasation 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 ca vity.