The paravasation of radiographic contrast medium has a wide spectrum of clinical presentations, ranging from local erythema and swelling to extensive damage to the extremity affected. We report the case of a patient who developed an acute compartment syndrome of the forearm after paravenous mechanical injection of 100 ml radiographic contrast medium. After emergency fasciotomy for muscle and nerve decompression the full range of motion and sensitivity could be restored.
Klinik für Plastische, Hand- und wiederherstellende Chirurgie, Krankenhaus Barmherzige Brüder, Regensburg, Deutschland. florian.ensat@barmherzige-regensburg.de
Radiologe. 2010 Mar 1;50(3):272-6.
AbstractThe paravasation of radiographic contrast medium has a wide spectrum of clinical presentations, ranging from local erythema and swelling to extensive damage to the extremity affected. We report the case of a patient who developed an acute compartment syndrome of the forearm after paravenous mechanical injection of 100 ml radiographic contrast medium. After emergency fasciotomy for muscle and nerve decompression the full range of motion and sensitivity could be restored.