Mannitol extravasation during partial nephrectomy leading to forearm compartment syndrome.
We present the first known complication of forearm compartment syndrome after mannitol infusion during partial nephrectomy. We stress the importance of excellent intravenous catheter access and constant visual monitoring of the intravenous catheter site during and after mannitol infusion as ways to prevent this complication. Prompt recognition of compartment syndrome with appropriate intervention can prevent long-term sequelae.
Erickson
Bradley A
BA
Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA. b-erickson@md.northwestern.edu
Yap
Ronald L
RL
Pazona
Joseph F
JF
Hartigan
Brian J
BJ
Smith
Norm D
ND
D000328:Adult; D003161:Compartment Syndromes / Q000209:etiology* / Q000601:surgery; D004234:Diuretics, Osmotic / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications*; D005260:Female; D005542:Forearm / Q000098:blood supply* / Q000601:surgery; D006801:Humans; D008353:Mannitol / Q000009:adverse effects*; D009392:Nephrectomy / Q000009:adverse effects*
D004234:Diuretics, Osmotic; D008353:Mannitol