Venous intravasation in retrograde urethrography

Case contributed by Dr Praveen Jha

Presentation

Difficulty in passing urine with purulent urine.

Patient Data

Age: 33
Gender: Male
Modality: X-ray

A tight stricture is seen in bulbomembranous junction, with venous intravasation into penile vein and ascending venous pathway in pelvic veins

Case Discussion

Enthusiast tech performed retrograde urethrography in case of bulbomembranous stricture, when venous intravasation into penile vein and ascending venous pathway occurred.

Venous intravasation in retrograde urethrography is a rare event. It is relatively common in procedures like hysterosalpingography. Reason behind venous intravasation is usually pre-existing mucosal breaches in inflammatory strictures, when contrast enters submucosal venous plexus, and intravasation along the venous pathway.

It is important to recognize such complications, while performing the procedure, as it may lead to anaphylaxis, renal failure as well as may lead rarely to mortality. Procedure should be stopped immediately.

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Case Information

rID: 28063
Case created: 8th Mar 2014
Last edited: 27th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

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