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Gastrointestinal
Diagnosis
Peritoneum, Mesentery, and Abdominal Wall
Miscellaneous
Vicarious Excretion
Vicarious Excretion
Siva P. Raman, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Vicarious contrast medium excretion (VCME)

          • Definitions

            • Excretion of parenterally injected contrast medium by organs other than kidneys

          IMAGING

          • General Features

            • Imaging Recommendations

              • Radiographic Findings

                • CT Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      DIAGNOSTIC CHECKLIST

                      • Consider

                        Selected References

                        1. Thalén S et al: The dynamics of extracellular gadolinium-based contrast agent excretion into pleural and pericardial effusions quantified by T1 mapping cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 21(1):71, 2019
                        2. Ku MC et al: Clinical analysis of contributors to the delayed gallbladder opacification following the use of water-soluble contrast medium. Ther Clin Risk Manag. 12:1357-64, 2016
                        3. Avery LL et al: High attenuation pericardial fluid on CT following cardiac catheterization. Emerg Radiol. 21(4):381-6, 2014
                        4. Lang EK et al: Delayed interstitial renal contrast extravasation and vicarious contrast excretion due to hypotension following blunt trauma. J Urol. 181(4):1881, 2009
                        5. Umana IE et al: Vicarious contrast excretion by the gallbladder in contrast nephropathy. Kidney Int. 75(4):446, 2009
                        6. Nwoye U et al: Vicarious excretion of parenteral contrast material after endovascular abdominal aortic aneurysm repair. Vasc Endovascular Surg. 42(5):494-6, 2008
                        7. Dyer RB et al: Vicarious contrast material excretion in patients with acute unilateral ureteral obstruction. Radiology. 177(3):739-42, 1990
                        8. Hopper KD et al: Vicarious excretion of water-soluble contrast media into the gallbladder in patients with normal serum creatinine. Invest Radiol. 23(8):604-8, 1988
                        9. Holloway H et al: Vicarious excretion of contrast medium in patients without azotemia. Urology. 25(2):201-3, 1985
                        Related Anatomy
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                        Related Differential Diagnoses
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                        References
                        Tables

                        Tables

                        KEY FACTS

                        • Terminology

                          • Imaging

                            • Top Differential Diagnoses

                              • Diagnostic Checklist

                                TERMINOLOGY

                                • Abbreviations

                                  • Vicarious contrast medium excretion (VCME)

                                • Definitions

                                  • Excretion of parenterally injected contrast medium by organs other than kidneys

                                IMAGING

                                • General Features

                                  • Imaging Recommendations

                                    • Radiographic Findings

                                      • CT Findings

                                        DIFFERENTIAL DIAGNOSIS

                                          PATHOLOGY

                                          • General Features

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              Selected References

                                              1. Thalén S et al: The dynamics of extracellular gadolinium-based contrast agent excretion into pleural and pericardial effusions quantified by T1 mapping cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 21(1):71, 2019
                                              2. Ku MC et al: Clinical analysis of contributors to the delayed gallbladder opacification following the use of water-soluble contrast medium. Ther Clin Risk Manag. 12:1357-64, 2016
                                              3. Avery LL et al: High attenuation pericardial fluid on CT following cardiac catheterization. Emerg Radiol. 21(4):381-6, 2014
                                              4. Lang EK et al: Delayed interstitial renal contrast extravasation and vicarious contrast excretion due to hypotension following blunt trauma. J Urol. 181(4):1881, 2009
                                              5. Umana IE et al: Vicarious contrast excretion by the gallbladder in contrast nephropathy. Kidney Int. 75(4):446, 2009
                                              6. Nwoye U et al: Vicarious excretion of parenteral contrast material after endovascular abdominal aortic aneurysm repair. Vasc Endovascular Surg. 42(5):494-6, 2008
                                              7. Dyer RB et al: Vicarious contrast material excretion in patients with acute unilateral ureteral obstruction. Radiology. 177(3):739-42, 1990
                                              8. Hopper KD et al: Vicarious excretion of water-soluble contrast media into the gallbladder in patients with normal serum creatinine. Invest Radiol. 23(8):604-8, 1988
                                              9. Holloway H et al: Vicarious excretion of contrast medium in patients without azotemia. Urology. 25(2):201-3, 1985