Diagnostic error due to vicarious excretion of rectal iodinated contrast.
Introduction of iodinated contrast into the intact colon is not expected to result in imaging-visible renal excretion of this contrast and is a phenomenon that has only rarely been described. We present a case in which such vicarious renal excretion was misinterpreted as a recto-vesical fistula which resulted in unnecessary delay in the patient's management.
Low
V H S
VH
Department of Radiology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia. vincent.low@health.wa.gov.au
Chu
B K
BK
D000368:Aged; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D003974:Diatrizoate Meglumine; D004733:Enema; D005119:Extravasation of Diagnostic and Therapeutic Materials; D006801:Humans; D008297:Male; D012003:Rectal Fistula / Q000000981:diagnostic imaging; D012004:Rectal Neoplasms / Q000601:surgery; D012007:Rectum / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
D003974:Diatrizoate Meglumine