Journals / Cukurova Medical Journal / 2018 / Cilt: 43 - Sayı: 1

Forearm compartment syndrome and soft tissue defect on the dorsum of the hand due to extravasation of radiologic contrast media

Radyografik kontrast maddenin damar dışına kaçmasına bağlı üst ekstremitede kompartman sendromu ve el dorsalinde doku defekti

Pages
207–210
Publication Date
2018-03-31
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this study, a case who had forearm compartment syndrome and skin necrosis at the dorsum of the hand due to extravasation of contrast media that was given via the peripheral intravenous access is presented.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Extravasation of contrast media that is given from peripheral intravenous access is a known complication of imaging studies.
📊
Key Findings & Data:Most of the cases are due to extravasation of small volumes of contrast media and symptoms like swelling, erythema and pain regress rapidly and uneventfully.
💡
Conclusion & Impact:In this study, a case who had forearm compartment syndrome and skin necrosis at the dorsum of the hand due to extravasation of contrast media that was given via the peripheral intravenous access is presented.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Extravasation of Contrast Media · Compartment Syndromes · Fasciotomy

Abstract

Extravasation of contrast media that is given from peripheral intravenous access is a known complication of imaging studies. Most of the cases are due to extravasation of small volumes of contrast media and symptoms like swelling, erythema and pain regress rapidly and uneventfully. But extravastion of large volumes of contrast media can result in compartment syndrome and skin necrosis. In this study, a case who had forearm compartment syndrome and skin necrosis at the dorsum of the hand due to extravasation of contrast media that was given via the peripheral intravenous access is presented.

Özet

Radyografik kontrast maddenin damar dışına kaçmasına bağlı üst ekstremitede kompartman sendromu ve el dorsalinde doku defekti radyolojik görüntüleme amacıyla periferik damar yolundan verilen kontrast maddenin damar dışına kaçması bilinen bir komplikasyondur. Olguların büyük bir kısmı küçük hacimlerde kontrast maddenin kaçışına bağlıdır ve meydana gelen ağrı, şişlik, kızarıklık gibi semptomlar hızlı bir şekilde, sekel bırakmadan düzelir. Fakat büyük hacimlerde kontrast maddenin damar dışına kaçtığı olgularda cilt nekrozu ve kompartman sendromu görülebilir. Çalışmamızda el dorsalinden açılan damar yolundan tomografi çekimi için verilen kontrast maddenin damar dışına kaçmasına bağlı olarak üst ekstremitede kompartman sendromu ve el dorsalinde cilt nekrozu gelişen bir olgu sunulmaktadır.

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Cite This Article

KOKAÇYA, Ö., TABAKAN, İ., SERVET, E. (2018). Forearm compartment syndrome and soft tissue defect on the dorsum of the hand due to extravasation of radiologic contrast media. Cukurova Medical Journal, Cilt: 43 - Sayı: 1, 207–210. https://ajindex.com/articles/134413

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References (11)

  1. Miles S, Rasmussen J, Litwiller T, Osik A. Safe use of an intravenous power injector for CT: experience and protocol. Radiology. 1990;176:69-70
  2. Wang CL, Cohan RH, Ellis JH, Adusumilli S, Dunnick NR. Frequency, management, and outcome of extravasation of nonionic iodinated contrast medium in 69,657 intravenous injections. Radiology. 2007;243:80-7
  3. Federle MP, Chang PJ, Confer S, Ozgun B. Frequency and effects of extravasation of ionic and nonionic CT contrast media during rapid bolus injection. Radiology. 1998;206:637-40
  4. Vinod KV, Shravan R, Shrivarthan R, Radhakrishna P, Dutta TK. Acute compartment syndrome of hand resulting from radiographic contrast iohexol extravasation. J Pharmacol Pharmacother. 2016;7:44-7
  5. Yurdakul E, Salt O, Durukan P, Duygulu F. Compartment syndrome due to extravasation of contrast material: a case report. Am J Emerg Med. 2014;32:1155 e3-5
  6. Bellin MF, Jakobsen JA, Tomassin I, Thomsen HS, Morcos SK, Thomsen HS, et al. Contrast medium extravasation injury: guidelines for prevention and management. Eur Radiol. 2002;12:2807-12
  7. Gault DT. Extravasation injuries. Br J Plastic Surg. 1993;46:91-6
  8. Birnbaum BA, Nelson RC, Chezmar JL, Glick SN. Extravasation detection accessory: clinical evaluation in 500 patients. Radiology. 1999;212:431-8
  9. Jacobs JE, Birnbaum BA, Langlotz CP. Contrast media reactions and extravasation: relationship to intravenous injection rates. Radiology. 1998;209:411-6
  10. Tsai YS, Cheng SM, Ng SP, Yang FS, Shih SL, Sheu CY et al. Squeeze maneuver: an easy way to manage radiological contrast-medium extravasation. Acta Radiol. 2007;48:605-7
  11. Ho Quoc C, Chaput B, Grolleau JL. [Interest and feasibility of local anesthesia in the management of massive extravasation of contrast medium]. Chir Main. 2013;32:108-12.