Iatrogenic and spontaneous bladder disruption in healthy children during a voiding cystourethrography is very uncommon. We present a case of iatrogenic extraperitoneal bladder rupture in a healthy normal child during the filling phase of a voiding cystourethrography performed by a pediatric radiologist, using routine gravity technique. This injury completely healed after 48 hours of catheter drainage with observation and was confirmed with a normal voiding cystourethrogram. The patient's underlying disease, age, proper catheter placement, and appropriate speed and volume of the contrast instilled are important factors to prevent this very uncommon event in this very common radiologic test.
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