| Compartment syndrome of the hand with acute bullous eruption due to extravasation of computed tomography contrast material. | |
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MedLine Citation:
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PMID: 20707256 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article presents a case of an 80-year-old woman with severe hematoma and consequently a compartmental syndrome of the hand complicated with acute bullous eruption due to extravasation of contrast material. Compartment syndrome of the hand has been linked to a number of various etiologies. Failure to adequately diagnose and treat compartment syndromes of the hand can lead to irreparable functional loss. In the majority of the cases extravasation results only in minimal swelling or erythema. However, severe skin necrosis, ulceration and compartment syndrome may occur with extravasation of large volumes. Compartment syndrome was diagnosed, and the patient underwent immediately fasciotomy. After fasciotomy we weekly followed up our patient with medications and after she regained the full use of the hand. We report this case to assess the importance of a careful evaluation of the intravenous administration site and close monitoring of the patient during contrast material injection to obtain minimal or prevent every kind of extravasation injuries. |
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Authors:
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G D'Asero; E Tati; M Petrocelli; L Brinci; L Palla; P Cerulli; V Cervelli |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European review for medical and pharmacological sciences Volume: 14 ISSN: 1128-3602 ISO Abbreviation: Eur Rev Med Pharmacol Sci Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-08-16 Completed Date: 2010-08-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9717360 Medline TA: Eur Rev Med Pharmacol Sci Country: Italy |
Other Details:
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Languages: eng Pagination: 643-6 Citation Subset: IM |
Affiliation:
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Department of Plastic and Reconstructive Surgery, University of Study, Tor Vergata, Rome, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Compartment Syndromes / chemically induced*, surgery Drug Eruptions / etiology Extravasation of Diagnostic and Therapeutic Materials / complications* Fascia / surgery Female Follow-Up Studies Hand / pathology Hematoma / chemically induced Humans Skin Diseases, Vesiculobullous / chemically induced* Tomography, X-Ray Computed / adverse effects |
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