Hand Compartment Syndrome Due to Extravasation of Contrast Medium. A Technical Error. A Report of a Case and Review of the Literature

Overview

Journal J Surg Case Rep

Publisher Oxford University Press

Specialty General Surgery

Date 2022 Mar 9

PMID 35261726

Authors

Nikolaos Papatheodorou

Anthimos Keskinis

Paraskevas Georgoulas

Konstantinos Tilkeridis

Sotirios Botaitis

Sempachedin Perente

Ioanna Kougioumtzi

Affiliations

Soon will be listed here.

Abstract

The extravasation of contrast agents is one of the most common and remarkable complications during a computed tomography (CT) scan. The clinical manifestations are commonly minimal, leading to mild symptoms. However, in rare cases of high-volume extravasation, the complications are extremely threatening. Compartment syndrome of the hand and the forearm leads to critical dysfunction and upper limb necrosis. This article reported an unusual case of hand compartment syndrome following extravasation of iodinated contrast agent from a peripheral venous catheter, during a CT angiography, and its surgical treatment. Moreover, a literature review regarding all published similar surgically treated cases was conducted.

Citing Articles

Contrast media extravasation injury: a prospective observational cohort study.

Liu W, Wang P, Zhu H, Tang H, Guan H, Wang X Eur J Med Res. 2023; 28(1):458.

PMID: 37880738 PMC: 10598951. DOI: 10.1186/s40001-023-01444-5.

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