Gadolinium-enhanced computed tomography cystogram to diagnose bladder augment rupture in patients with iodine sensitivity.
Anaphylactic reaction to iodinated contrast is a potentially life-threatening complication of diagnostic imaging studies. We report the successful use of gadolinium as an alternative contrast agent for computed tomography cystogram in a patient with a history of anaphylactic reaction to iodinated contrast. This technique allowed us rapidly to diagnose a rupture of her bladder augmentation and pursue operative repair.
Newport
John Paul
JP
Department of Surgery, Division of Urology, University of Kentucky Medical Center, Lexington, Kentucky 40536, USA.
Dusseault
Beau N
BN
Butler
Carina
C
Pais
Vernon M
VM
D000328:Adult; D000707:Anaphylaxis / Q000209:etiology; D003287:Contrast Media; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D017613:Iodine Compounds / Q000009:adverse effects; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed / Q000379:methods*; D001743:Urinary Bladder / Q000000981:diagnostic imaging* / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging*
D003287:Contrast Media; D017613:Iodine Compounds; C064925:gadodiamide; D019786:Gadolinium DTPA