Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 12

Favorable Outcome of Hand Compartment Syndrome Secondary to Extravasation of Intravenous Contrast Medium: A Case Report

Geletaw Tessema1, Hailegebriel Degefu2 and Mengistu G Mengesha3*

1Assistant Professor of Orthopedic Surgery at Tikur Anbessa Specialized Hospital, Trauma and Arthroplasty Sub Specialist, President of Ethiopian Society of Orthopedic and Traumatology (ESOT), Addis Ababa, Ethiopia
2Assistant Professor of Orthopedic Surgery at Tikur Anbessa Specialized Hospital, Ethiopia
3Assistance Professor of Orthopedic Surgery at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia

*Corresponding Author: Mengistu G Mengesha, Assistance Professor of Orthopedic Surgery at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia.

Received: November 03, 2022; Published: November 23, 2022

Abstract

Hand compartment syndrome due to extravasation of contrast medium is a rare condition. Most of the time, it results in minimal swelling and erythema. But injection site skin necrosis and compartment syndrome occur when the amount of the contrast is large in volume and extravasated into the soft tissue. This case report presents a 58 years old female patient for whom contrast medium was injected intravenously at the dorsum of the hand and ended up with compartment syndrome. She was treated by emergency fasciotomy for established compartment syndrome which resulted in full hand function.

Keywords: Compartment Syndrome; Hand; Contrast Medium; Extravasation; A Favorable Outcome

References

  1. Stavrakakis IM., et al. “Hand compartment syndrome as a result of intravenous contrast extravasation”. Oxford Medical Case Reports 12 (2018): 425-428.
  2. Belzunegui T., et al. “Extravasation of radiographic contrast material and compartment syndrome in the hand: A case report”. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 19 (2011): 2-5.
  3. Selek H., et al. “Compartment syndrome in the hand due to extravasation of contrast material”. Archives of Orthopaedic and Trauma Surgery6 (2007): 425-427.
  4. Stein DA., et al. “Compartment syndrome of the hand caused by computed tomography contrast infiltration”. Orthopedics 3 (2003): 333-334.
  5. Oak NR and Abrams RA. “Compartment Syndrome of the Hand”. Orthopedic Clinics of North America 47 (2016): 609-616.
  6. Griffiths DL. “Volkmann’s ischaemic contracture”. British Journal of Surgery 28 (1940): 239-260.
  7. Reichman EF. “Compartment Syndrome of the Hand: a little thought about the diagnosis”. Case Reports in Emergency Medicine (2016).
  8. Tonolini M., et al. “Extravasation of radiographic contrast media: Prevention, diagnosis, and treatment”. Current Problems in Diagnostic Radiology 2 (2012): 52-55.
  9. Bellin MF., et al. “Contrast medium extravasation injury; guidelines for prevention and management”. European Radiology 12 (2002): 2807-2812.
  10. Reynolds PM., et al. “Management of extravasation injuries: a focused evaluation of noncytotoxic medications”. Pharmacotherapy 34 (2014): 617-632.
  11. Nikolaos Papatheodorou., et al. “Hand compartment syndrome due to extravasation of contrast medium. A technical error. A report of a case and review of the literature”. Journal of Surgical Case Reports 3 (2022): 1-5.

Citation

Citation: Mengistu G Mengesha., et al. “Favorable Outcome of Hand Compartment Syndrome Secondary to Extravasation of Intravenous Contrast Medium: A Case Report”.Acta Scientific Orthopaedics 5.12 (2022): 184-188.

Copyright

Copyright: © 2022 Mengistu G Mengesha., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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