J Korean Radiol Soc.  1987 Aug;23(4):658-661. 10.3348/jkrs.1987.23.4.658.

Skin necrosis following extravasatin of water soluble contrast media-report of 2 cases

• Park JH
• Kim SH
• Shin MJ
• Kim JC
• Minn KW
• Park CK

• KMID: 2359437
• DOI: http://doi.org/10.3348/jkrs.1987.23.4.658

Abstract

Two cases of skin necrosis following extravasation of contrast media for intravenous pyelography and computed tomograhy were experienced in the Department of Radiology, Seoul National University Hospital. The first case was4 years old girl who suffered from known nephrotic syndrome. About 15cc of meglumine ioxitalamate(Telebrix 30) was injected through 25G needle at dorsum of left foot to visualize the urinary tract for renal biopsy. The 2nd case was 3 years old girl who suffered from seizure. About 12cc of meglumine ioxitalamate(Telebrix 30) was injected through 25G needle at dorsum of left foot. In both cases the dorsum of foot was swollen immediately after the extravasion of the contrast media. Following discoloration the skin showed vesicles with erythema. Consequently the skin showed white discoloration and ulcerated to form crust. In the former case, skin graft was applied successfully. However, in the latter, the lesion healed with only supportive dressings.

MeSH Terms

Bandages
Biopsy
Contrast Media
Erythema
Extravasation of Diagnostic and Therapeutic Materials
Female
Foot
Humans
Meglumine
Necrosis*
Needles
Nephrotic Syndrome
Seizures
Seoul
Skin*
Transplants
Ulcer
Urinary Tract
Urography
Water*
Contrast Media
Meglumine
Water