Case profile: Extravagram Profile

URORADIOLOGY

CASE PROFILE:

EXTRAVAGRAM

NOTE - Urograms of interest to our readers are welcome from urologists and radiologists, Corktributions, including an abbreviated history and legend for the films, are to be sent to Arthur N. Tessler, MI D., feature editor.

FIGURE 1.

(A) Extravagram,

and (B) repeat cystogram showing rejlux.

A three-year-old female, two months after ureteroneocystostomy for vesicorenal reflux, underwent a cystogram (Fig. 1A). Startled urologists hurried to the uroradiographic suite only to find an unperturbed young miss totally oblivious to the “gravity” of the situation. Although results of abdominal examination were normal, perplexed urologists, on more careful observation of the extravagram, noted the balloon-tipped catheter was located in the vaginiform cavity. Suspicions were confirmed when

UROLOGY

/ JANUARY 1976 / VOLUME

VII,

NUMBER

repeat studies demonstrated a normal bladder (Fig. 1B). We believe that the contrast agent entered the peritoneal cavity via the uterus and fallopian tubes, although a vaginal forniceal tear is not excluded. Bernard M. Stanfield, M.D. Douglas M. Soderdahl, M.D. Dean T. Schamber, M.D. APO,

1

Tripler Army Medical Center San Francisco, California 96438

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