J Korean Orthop Assoc.  2013 Feb;48(1):27-32. 10.4055/jkoa.2013.48.1.27.

Extravasation Injury of Forearm by Computed Tomography Contrast Medium

• Shin DJ
• Byun YS
• Choi S

• KMID: 2106660
• DOI: http://doi.org/10.4055/jkoa.2013.48.1.27

Abstract

In recent years, there has been a noticeable increase in contrast media extravasation injury. However, definite guidelines for the treatment of the injury have not yet been established, although it causes severe complications such as compartment syndrome, skin necrosis etc. We try to introduce conservative management with a thorough review of the relevant literatures about successful treatment and functional restoration from contrast media extravasation injury without any complications.

Keyword

contrast media; extravasation; treatment

MeSH Terms

Compartment Syndromes
Contrast Media
Extravasation of Diagnostic and Therapeutic Materials
Forearm
Necrosis
Skin
Contrast Media

Figure

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  Figure 1 Clinical appearance of the upper extremity shows (A) tissue tension, global swelling, and blisters in the volar region 5 hours after the injury, and (B) radiographs of forearm and humerus 2 hours after the injury show a considerable extension of extravascular contrast.

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  Figure 2 Clinical appearance of the upper extremity shows (A) the improvement of swelling without additional bullae formation, and (B) radiographs of the forearm and humerus show nearly contrast-absorption, except for some proximal brachium portion, 2 days after the injury.

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  Figure 3 Clinical appearance of the upper extremity shows (A) complete remission of externals without any complications, and (B) radiographs of the forearm and humerus show no extra remaining contrast 3 months after the injury.

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