Case report


Retrograde Pyelogram during intended Cystogram: A Rare complication of a common procedure.

Shanmugasundaram RajaianPragatheeswarane MurugavaithianathanKarrthik KrishnamurthyLakshman Murugesan
Corresponding Author:
Corresponding Author

Shanmugasundaram Rajaian

Department of Urology, MIOT Hospitals, 4/112, Mount Poonamallee Road, Chennai - 600 089, Tamil Nadu, India.
E-mail: ssrl25@gmail.com


DOI: 10.4103/jcis.JCIS_59_18

ABSTRACT


Inadvertent placement of the urinary catheter into the ureter can cause several complications. We describe a rare complication during cystogram due to unrecognized inadvertently placed urinary catheter in ureter, resulting in a life-threatening situation. A 47-year-old multiparous female underwent total laparoscopic hysterectomy for adenomyosis. During early postoperative period, she developed vesicovaginal fistula and transvaginal repair of fistula was done. During filling cystography done at 2 weeks, she developed right loin pain and urosepsis. Contrast extravasation was seen in the right renal subcapsular space with Foley’s catheter inside the right ureter. Subsequently, she recovered well.
Keywords: Cystogram, extravasation, sepsis, ureteric catheterization

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