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All Journal Prosiding Seminar Kesehatan Nasional
Sitohang, Putra Raja P P
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Health Professions Nursing Public Health

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Teknik Pemeriksaan Cystografi pada Kasus Fistule Vesicorectal di Instalasi Radiologi RS Efarina Etaham Berastagi Purba, Juni Sinarinta; Sitohang, Putra Raja P P; Siahaan, Nopita Sari
Prosiding Seminar Kesehatan Nasional Vol. 1 No. 1 (2022): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v1i1.108

Abstract

Cystography is a radiographic examination to visualize the vesica urinaria using positive contrast media administered retrogradely through a catheter. Vesicorectal fistula is an abnormal channel connecting the urinary bladder with the rectum. This case study was conducted at the Radiology Installation of RS Efarina Etaham Berastagi on a 51-year-old male patient with suspected vesicorectal fistula. The examination used projections of AP plain, AP post-contrast, RPO, LPO, lateral, lateral double contrast, and AP post-evacuation. The examination technique used positive contrast media (Iopamidol:aquades ratio 1:4) followed by negative contrast media (air 100cc) administered retrogradely through a catheter. Double contrast technique showed smooth vesica urinaria walls with contrast entering the rectum, and air visible between the rectum and the vesica urinaria posteroinferior, confirming vesicorectal fistula. The use of double contrast (positive and negative) in cystography examination is effective for diagnosing vesicorectal fistula by providing density differences that clearly demonstrate the presence of fistula.
Co-Authors Purba, Juni Sinarinta Siahaan, Nopita Sari