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Intraperitoneal Rupture of Urinary Bladder during Micturating Cystourethrography in a Child

Amar A Shah1, Anirudh V Shah1

  • 1Amardeep Multispeciality Children Hospital and Research Centre, Ahmedabad, Gujarat, India.

Journal of Indian Association of Pediatric Surgeons
|October 16, 2023
PubMed

Insights

Bladder rupture during micturating cystourethrography (MCUG) is a rare complication in pediatric urology. This case report details a successful surgical repair of intraperitoneal bladder rupture in an infant, highlighting the need for careful technique.

Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging
  • Surgical Complications

Background:

  • Micturating cystourethrography (MCUG) is a common diagnostic tool in pediatric urology.
  • While generally safe, MCUG can lead to rare complications.
  • Bladder rupture is an exceptionally uncommon event during this procedure.

Observation:

  • A 2.5-month-old infant experienced an intraperitoneal bladder rupture during an MCUG.
  • Surgical intervention was required to repair a tear at the bladder dome.
  • The infant's postoperative recovery was uneventful.

Findings:

  • Intraperitoneal bladder rupture during MCUG is a rare but serious complication.
  • Surgical repair is often necessary for bladder rupture in infants.
  • Successful surgical outcomes are achievable with prompt intervention.

Implications:

  • Emphasizes the importance of meticulous technique during pediatric MCUG to prevent rare complications.
  • Highlights surgical repair as a primary management strategy for bladder rupture in infants.
  • Underscores the need for vigilance and careful execution of MCUG in pediatric patients.

Keywords:
Intraperitoneal bladder rupturechildmicturating cystourethrography

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