Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogram
Patients with reported history of severe iodinated contrast reaction are not uncommon in daily practice. Iodinated contrast is most frequently administered intravenously (IV) for CT scans but is also used intraluminally during urologic procedures and postoperatively to assess for leaks. Providers of...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-11-01
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| Series: | Urology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442024002109 |
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| author | Brian Holmes Sreeja Sanampudi Lakshmi Ananthakrishnan |
| author_facet | Brian Holmes Sreeja Sanampudi Lakshmi Ananthakrishnan |
| author_sort | Brian Holmes |
| collection | DOAJ |
| description | Patients with reported history of severe iodinated contrast reaction are not uncommon in daily practice. Iodinated contrast is most frequently administered intravenously (IV) for CT scans but is also used intraluminally during urologic procedures and postoperatively to assess for leaks. Providers often are unaware that patients with prior iodinated contrast allergy after IV administration are still at risk for a reaction during intraluminal administration. We present a case of a patient with history of iodinated severe contrast allergy, in which CT cystography using a gadolinium-based-contrast agent was safely performed as an alternative to iodinated-based-cystography to evaluate for a postoperative leak. |
| format | Article |
| id | doaj-art-461c57790b414f9a958d052c21b59f56 |
| institution | DOAJ |
| issn | 2214-4420 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj-art-461c57790b414f9a958d052c21b59f562025-08-20T02:48:39ZengElsevierUrology Case Reports2214-44202024-11-015710285610.1016/j.eucr.2024.102856Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogramBrian Holmes0Sreeja Sanampudi1Lakshmi Ananthakrishnan2University of Texas Southwestern Medical Center, Department of Radiology, 5323 Harry Hines Blvd, Dallas, TX 75390, United StatesCorresponding author. 5323 Harry Hines Blvd, Dallas, TX 75390, United States.; University of Texas Southwestern Medical Center, Department of Radiology, 5323 Harry Hines Blvd, Dallas, TX 75390, United StatesUniversity of Texas Southwestern Medical Center, Department of Radiology, 5323 Harry Hines Blvd, Dallas, TX 75390, United StatesPatients with reported history of severe iodinated contrast reaction are not uncommon in daily practice. Iodinated contrast is most frequently administered intravenously (IV) for CT scans but is also used intraluminally during urologic procedures and postoperatively to assess for leaks. Providers often are unaware that patients with prior iodinated contrast allergy after IV administration are still at risk for a reaction during intraluminal administration. We present a case of a patient with history of iodinated severe contrast allergy, in which CT cystography using a gadolinium-based-contrast agent was safely performed as an alternative to iodinated-based-cystography to evaluate for a postoperative leak.http://www.sciencedirect.com/science/article/pii/S2214442024002109 |
| spellingShingle | Brian Holmes Sreeja Sanampudi Lakshmi Ananthakrishnan Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogram Urology Case Reports |
| title | Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogram |
| title_full | Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogram |
| title_fullStr | Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogram |
| title_full_unstemmed | Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogram |
| title_short | Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogram |
| title_sort | diagnostic ct cystography with diluted gadolinium based contrast a viable alternative to an iodinated contrast based cystogram |
| url | http://www.sciencedirect.com/science/article/pii/S2214442024002109 |
| work_keys_str_mv | AT brianholmes diagnosticctcystographywithdilutedgadoliniumbasedcontrastaviablealternativetoaniodinatedcontrastbasedcystogram AT sreejasanampudi diagnosticctcystographywithdilutedgadoliniumbasedcontrastaviablealternativetoaniodinatedcontrastbasedcystogram AT lakshmiananthakrishnan diagnosticctcystographywithdilutedgadoliniumbasedcontrastaviablealternativetoaniodinatedcontrastbasedcystogram |