Urethrovenous intravasation of contrast from retrograde urethrography

Case contributed by Pir Abdul Ahad Aziz Qureshi
Diagnosis certain

Presentation

Difficulty in passing urine and poor urinary stream

Patient Data

Age: 70 years
Gender: Male

Tight stricture is seen at bulbomembranous junction with no further flow of contrast into the urinary bladder. Venous intravasation of contrast is seen.

Case Discussion

Urethrovenous intravasation of contrast is an uncommon complication of retrograde urethrography and care should be taken while performing retrograde urethrogram in patients with urethral strictures as forceful contrast injection in tight strictures may lead to venous intravasation.

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