title: [Development of compartment syndrome after intravenous administration of an X-ray contrast medium. Recommendations on acute therapy regimens].
abstract: The incidence of extravasation of contrast medium is reported in the literature to be between 0.2 % and 0.9 %. A rare consequence of this could be compartment syndrome of the affected limb which requires immediate treatment.We report the case of a patient who developed acute compartment syndrome of the forearm after intravenous injection of radiographic contrast medium in a radiovolar vein during a computed tomography (CT) scan for multiple trauma. The clinical symptoms with pain, loss of range of motion and sensitivity functions, measurement of compartment pressure and radiological images confirmed the diagnosis. After emergency dermatofasciotomy of the forearm the full range of motion and sensitivity functions could be restored.
authors: Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland, hawi.nael@mh-hannover.de.
authors: N
authors: N
authors: Hawi
authors: M
authors: M
authors: Citak
authors: E
authors: E
authors: Liodakis
authors: M
authors: M
authors: Petri
authors: C
authors: C
authors: Haasper
authors: C
authors: C
authors: Krettek
authors: R
authors: R
authors: Meller
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy / Q000379:methods; D003161:Compartment Syndromes / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery*; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects; D019299:Decompression, Surgical / Q000379:methods*; D062109:Dermatologic Surgical Procedures; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D000071938:Fasciotomy; D006801:Humans; D007275:Injections, Intravenous; D007472:Iohexol / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*; D008297:Male; D014057:Tomography, X-Ray Computed / Q000009:adverse effects; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media; C093233:iobitridol; D007472:Iohexol
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