Gd-DTPA in male urethrography. A case report.
Patients with a case history of severe side-effects from iodine-containing contrast media present problems in later radiological examination. We report here on an alternative, the first extravascular use of Gd-DTPA in an X-ray urethrography. By using the standard processing algorithm of our digital radiographic equipment and 60 ml undiluted Gd-DTPA meglumine (469 mg/ml) we achieved good contrast and could exclude the suspected urethral diverticulum in a 26-year-old man. No adverse reactions occurred. Gd-DTPA seems to offer a reasonable contrast and may be used as an alternative extravascular contrast medium in selected conventional radiographic studies.
Vehmas
T
T
Department of Radiology, Helsinki University Central Hospital, Finland.
Tervahartiala
P
P
D000328:Adult; D003287:Contrast Media; D004240:Diverticulum / Q000000981:diagnostic imaging*; D019786:Gadolinium DTPA; D006801:Humans; D008297:Male; D009942:Organometallic Compounds; D004369:Pentetic Acid / Q000031:analogs & derivatives*; D011856:Radiographic Image Enhancement; D014521:Urethra / Q000000981:diagnostic imaging*; D014522:Urethral Diseases / Q000000981:diagnostic imaging*
D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA