Development of compartment syndrome after intravenous administration of an X-ray contrast medium

作者：Hawi N^*; Citak M; Liodakis E; Petri M; Haasper C; Krettek C; Meller R

来源：Unfallchirurg, 2014, 117(4): 374-378.

DOI：10.1007/s00113-013-2393-2

• Forearm
• Multiple trauma
• Contrast medium administration
• Computed tomography imaging

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. %26lt;br%26gt;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.

• 出版日期2014-4