Immediate surgical treatment for massive extravasation of computed tomography contrast medium in the hand: a case report

Byung Woo Yoo; Kap Sung Oh; Junekyu Kim; Kyu Nam Kim; Hyun Woo Shin

doi:10.12790/ahm.22.0051

추천

검색

자료유형: 학술저널

저자정보: Byung Woo Yoo (Department of Plastic and Reconstructive Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul Korea) Kap Sung Oh (Department of Plastic and Reconstructive Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul Korea) Junekyu Kim (Department of Plastic and Reconstructive Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul Korea) Kyu Nam Kim (Department of Plastic and Reconstructive Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul Korea) Hyun Woo Shin (Department of Plastic and Reconstructive Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul Korea)

저널정보: 대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery Vol.28 No.1

발행연도: 2023.3

수록면: 43 - 46 (4page)

DOI: 10.12790/ahm.22.0051

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

There are no treatment guidelines for the extravasation of contrast medium. A 71-year-old man underwent coronary artery computed tomography. When contrast medium (iohexol) was injected through the right cephalic vein, massive leakage into the surrounding tissues occurred. A physical examination showed severe swelling of the hand and a prolonged capillary refill time. X-rays showed a massive accumulation of contrast medium in the hand. We immediately performed surgical treatment, including four skin incisions on the hand, subcutaneous dissection, and squeezing, which led to the removal of 50 mL of liquid. The immediate postoperative radiographic findings showed dramatic fading of most of the contrast medium. Four days postoperatively, radiography showed complete dissolution of all contrast medium, and a physical examination revealed full recovery of skin color and capillary refill time. We successfully managed massive extravasation of contrast medium in the hand with immediate surgical treatment. An immediate surgical approach for massive extravasation should be considered to achieve favorable outcomes.

#Extravasation of diagnostic and therapeutic materials #Computed tomography #X-rays

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!