Neil JA, Laurent D, Das K, Mehta H. Retrograde cysto-myelogram: Case Report.
Surg Neurol Int 2015;
6:S124-6. [PMID:
25949854 PMCID:
PMC4408618 DOI:
10.4103/2152-7806.155698]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2015] [Accepted: 01/30/2015] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND
In the scenario of blunt trauma with suspected bladder injury, conventional retrograde cystography is the gold standard for accurate diagnosis.
CASE DESCRIPTION
The authors report the case of a 54-year-old patient who presented with pelvic and sacral fractures and a ruptured bladder after being hit by a vehicle. A retrograde computed tomography cystogram demonstrated extraperitoneal extravasation of the contrast agent, which traversed violated sacral nerve roots, resulting in contrast entering the subarachnoid space at the left sacral ala predominantly through the left L5 and S1 nerve roots.
CONCLUSIONS
This is the first known report of an accidental myelogram imaging performed through a retrograde cystogram.
Collapse