EURORAD ESR

Case 11466

Vicarious excretion of intravenous contrast medium in the gallbladder of a renal trauma patient

Author(s)
Rafailidis Vasileios, Liouliakis Christos, Karadimou Vasiliki, Gavriilidou Anna

Department of Radiology,
General Hospital of Katerini,
6 km Katerini-Arona,
60100, Katerini, Greece;
Email:billraf@hotmail.com
 
Patient
female, 64 year(s)
 
 
  • Figure 1
    On admission abdominal CT
     

    This contrast enhanced CT was performed on admission. We can see a large left perirenal and posterior pararenal haematoma which displaces the left kidney anteriorly.

     
    Area of Interest: Abdomen; Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute; Trauma;

    Sagittal plane of the first CT examination showing the perirenal and pararenal haematoma pushing the kidney anteriorly. There is also evidence of extravasation of small quantity of contrast agent.

     
    Area of Interest: Abdomen; Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute; Trauma;

    Coronal plane of the first CT examination showing the haematomas which displace the kidney.

     
    Area of Interest: Abdomen; Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute; Trauma;
     
     
  • Figure 2
    On admission 5-minute delayed abdominal CT.

    This 5-minute delayed CT image proves that the gallbladder was normal and empty on admission.

     
    Area of Interest: Abdomen; Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute; Trauma;
     
     
  • Figure 3
    15 hours post admission CT.
     

    15 hours post admission abdominal CT demonstrated opacification of the gallbladder by a dense material. The opacification of the renal calyces is caused by the contrast medium of the second examination (presented here).

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Diagnostic procedure; Special Focus: Acute; Trauma;

    Coronal MPR reconstruction image of the second CT examination showing the opacified gallbladder.

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Diagnostic procedure; Special Focus: Acute; Trauma;

    Oblique MPR reconstruction image of the second CT examination showing the opacified gallbladder.

     
    Area of Interest: Abdomen; Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Diagnostic procedure; Special Focus: Acute; Trauma;
     
     
This contrast enhanced CT was performed on admission. We can see a large left perirenal and posterior pararenal haematoma which displaces the left kidney anteriorly.
 
Sagittal plane of the first CT examination showing the perirenal and pararenal haematoma pushing the kidney anteriorly. There is also evidence of extravasation of small quantity of contrast agent.
 
Coronal plane of the first CT examination showing the haematomas which displace the kidney.
 
This 5-minute delayed CT image proves that the gallbladder was normal and empty on admission.
 
15 hours post admission abdominal CT demonstrated opacification of the gallbladder by a dense material. The opacification of the renal calyces is caused by the contrast medium of the second examination (presented here).
 
Coronal MPR reconstruction image of the second CT examination showing the opacified gallbladder.
 
Oblique MPR reconstruction image of the second CT examination showing the opacified gallbladder.
 
 
 
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