Indigo carmine extravasation to upper limb after pelvic reconstructive surgery.
BACKGROUND
The use of dyes during cystoscopy to visualize the ureters adequately is prevalent in gynecologic surgery. Observing ureteral patency after procedures such as a hysterectomy or pelvic reconstruction is important for identifying injury to the upper urinary tract. Indigo carmine is commonly used. Knowing the possible adverse effects and being aware of unusual presentations with the use of indigo carmine are important in managing and counseling patients.


METHODS
We present a case in which a patient developed indigo carmine extravasation to her upper limb after pelvic reconstructive surgery. The blue discoloration disappeared after 1 day.


CONCLUSIONS
Indigo carmine extravasation to other parts of the body can occur without long-term complications. It takes 24-48 hours for the dye to clear subcutaneously.
Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Scott and White Healthcare, Texas A&M Health Science Center College of Medicine, Temple, Texas, USA. flindo@sw.org
Fiona M
FM
Lindo
Christopher P
CP
Chung
Paul M
PM
Yandell
D000368:Aged; D004396:Coloring Agents / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology*; D005260:Female; D005542:Forearm; D006225:Hand; D006801:Humans; D007203:Indigo Carmine / Q000009:adverse effects*; D056887:Pelvic Organ Prolapse / Q000601:surgery*
D004396:Coloring Agents; D007203:Indigo Carmine