Ömer KOKAÇYA, İbrahim TABAKAN, Erkan SERVET

Radyografik kontrast maddenin damar dışına kaçmasına bağlı üst ekstremitede kompartman sendromu ve el dorsalinde doku defekti

Radyografik kontrast maddenin damar dışına kaçmasına bağlı üst ekstremitede kompartman sendromu ve el dorsalinde doku defekti radyolojik görüntüleme amacıyla periferik damar yolundan verilen kontrast maddenin damar dışına kaçması bilinen bir komplikasyondur. Olguların büyük bir kısmı küçük hacimlerde kontrast maddenin kaçışına bağlıdır ve meydana gelen ağrı, şişlik, kızarıklık gibi semptomlar hızlı bir şekilde, sekel bırakmadan düzelir. Fakat büyük hacimlerde kontrast maddenin damar dışına kaçtığı olgularda cilt nekrozu ve kompartman sendromu görülebilir. Çalışmamızda el dorsalinden açılan damar yolundan tomografi çekimi için verilen kontrast maddenin damar dışına kaçmasına bağlı olarak üst ekstremitede kompartman sendromu ve el dorsalinde cilt nekrozu gelişen bir olgu sunulmaktadır.

Forearm compartment syndrome and soft tissue defect on the dorsum of the hand due to extravasation of radiologic contrast media

Extravasation of contrast media that is given from peripheral intravenous access is a known complication of imaging studies. Most of the cases are due to extravasation of small volumes of contrast media and symptoms like swelling, erythema and pain regress rapidly and uneventfully. But extravastion of large volumes of contrast media can result in compartment syndrome and skin necrosis. In this study, a case who had forearm compartment syndrome and skin necrosis at the dorsum of the hand due to extravasation of contrast media that was given via the peripheral intravenous access is presented.

Keywords:

Extravasation of Contrast Media, Compartment Syndromes Fasciotomy, Skin Grafting, Upper Extremity,

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