Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Compartment Syndrome of the Upper Extremity Induced by Extravasation of Contrast Media after Computed Tomography: A Case Report

  • Jung, Jae-Won (Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Lim, Young-Jae (Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Kim, Beom-Soo (Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Cho, Chul-Hyun (Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
  • Received : 2017.10.27
  • Accepted : 2017.11.15
  • Published : 2017.12.31
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Abstract

The incidence of contrast media extravasation has been increasing gradually. Most contrast media extravasations only can cause pain, swelling and erythema. However, in more severe cases, skin necrosis, ulceration, or compartment syndrome may occur, often necessitating a surgery. Early diagnosis and treatment should be established on the spot in order to avoid such a severe damage. We present a case of 42-year-old woman with a compartment syndrome in the right upper extremity caused by extravasation of computed tomography contrast media.

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References

  1. 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(1):80-7. https://doi.org/10.1148/radiol.2431060554
  2. Cohan RH, Bullard MA, Ellis JH, et al. Local reactions after injection of iodinated contrast material: detection, management, and outcome. Acad Radiol. 1997;4(11):711-8. https://doi.org/10.1016/S1076-6332(97)80073-6
  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(3):637-40. https://doi.org/10.1148/radiology.206.3.9494479
  4. Jacobs JE, Birnbaum BA, Langlotz CP. Contrast media reactions and extravasation: relationship to intravenous injection rates. Radiology. 1998;209(2):411-6. https://doi.org/10.1148/radiology.209.2.9807567
  5. Belzunegui T, Louis CJ, Torrededia L, Oteiza J. Extravasation of radiographic contrast material and compartment syndrome in the hand: a case report. Scand J Trauma Resusc Emerg Med. 2011;19:9. https://doi.org/10.1186/1757-7241-19-9
  6. Miles SG, Rasmussen JF, Litwiller T, Osik A. Safe use of an intravenous power injector for CT: experience and protocol. Radiology. 1990;176(1):69-70. https://doi.org/10.1148/radiology.176.1.2353114
  7. Sbitany H, Koltz PF, Mays C, Girotto JA, Langstein HN. CT contrast extravasation in the upper extremity: strategies for management. Int J Surg. 2010;8(5):384-6. https://doi.org/10.1016/j.ijsu.2010.06.002
  8. Shin DJ, Byun YS, Choi S. Extravasation injury of forearm by computed tomography contrast medium. J Korean Orthop Assoc. 2013;48(1):27-32. https://doi.org/10.4055/jkoa.2013.48.1.27
  9. Huh SW, Ryu JH, Song SW, Rhee SK. Compartment syndrome of forearm caused by extravasation of ct contrast media: a case report. J Korean Soc Surg Hand. 2012;17(1):43-6.
  10. Kim HI, Shin DA. Automated pressure-controlled discography with constant injection speed and real-time pressure measurement. J Korean Neurosurg Soc. 2009;46(1):16-22. https://doi.org/10.3340/jkns.2009.46.1.16