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DC Field | Value | Language |
---|---|---|
dc.contributor.author | A. Kovindha | en_US |
dc.contributor.author | C. Sivasomboon | en_US |
dc.contributor.author | P. Ovatakanont | en_US |
dc.date.accessioned | 2018-09-11T09:26:17Z | - |
dc.date.available | 2018-09-11T09:26:17Z | - |
dc.date.issued | 2005-07-01 | en_US |
dc.identifier.issn | 13624393 | en_US |
dc.identifier.other | 2-s2.0-22844438758 | en_US |
dc.identifier.other | 10.1038/sj.sc.3101738 | en_US |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=22844438758&origin=inward | en_US |
dc.identifier.uri | http://cmuir.cmu.ac.th/jspui/handle/6653943832/62368 | - |
dc.description.abstract | Objective: To present complications and pitfalls in voiding cystourethrography (VCUG) and introduce a guideline for performing VCUG in a long-term spinal cord injury (SCI) patient with neurogenic bladder dysfunction (NBD) and contracted bladder. Study design: A case report. Setting: Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand. Method: We describe a chronic C5tetraplegic man with NBD and contracted bladder, who developed autonomic dysreflexia (AD), gross hematuria and extravasation of contrast median during VCUG. Result: A foley catheter was retained after VCUG. AD was resolved and urine cleared after a week of continuous bladder irrigation. Conclusion: VCUG should be performed with caution in a long-term SCI patient with NBD and contracted bladder. Forceful pushing of the contrast media by the hand-injection method caused abrupt distention of the contracted bladder, damaged bladder mucosa and aggrevated AD. We suggest a guideline as follows: report bladder capacity and AD, if present, in an X-ray requisition form; use the gravity-drip method, stop the drip and drain the contrast media if a sudden headache and rising of blood pressure (BP) develop; observe urine colour, and report if bleeding or AD occurs. © 2005 International Spinal Cord Society. All rights reserved. | en_US |
dc.subject | Medicine | en_US |
dc.title | Extravasation of the contrast media during voiding cystourethrography in a long-term spinal cord injury patient | en_US |
dc.type | Journal | en_US |
article.title.sourcetitle | Spinal Cord | en_US |
article.volume | 43 | en_US |
article.stream.affiliations | Chiang Mai University | en_US |
Appears in Collections: | CMUL: Journal Articles |
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