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DOI: 10.1148/radiol.2431060554
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Frequency, Management, and Outcome of Extravasation of Nonionic Iodinated Contrast Medium in 69 657 Intravenous Injections1

Carolyn L. Wang, MD, Richard H. Cohan, MD, James H. Ellis, MD, Saroja Adusumilli, MD and N. Reed Dunnick, MD

1 From the Department of Radiology, University of Michigan Health System, Room B1D502G, 1500 E Medical Center Dr, Ann Arbor, MI 48109-0030. Received March 28, 2006; revision requested May 26; revision received June 5; accepted June 21; final version accepted August 25. Address correspondence to R.H.C. (e-mail: rcohan{at}umich.edu).


Figure 1A
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  		Figure 1a: Severe extravasation injury in an adult patient. (a) Preoperative photograph shows that the affected hand is swollen and that the fingers are dusky. Compartment syndrome was diagnosed. (b) Photograph obtained during surgery demonstrates the surgical incision. A dorsal fasciotomy was performed, and contrast medium and fluid were evacuated from the dorsum of the hand. (c) Photograph taken 1 month after surgery demonstrates only a small eschar at the fasciotomy site.

 

Figure 1B
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  		Figure 1b: Severe extravasation injury in an adult patient. (a) Preoperative photograph shows that the affected hand is swollen and that the fingers are dusky. Compartment syndrome was diagnosed. (b) Photograph obtained during surgery demonstrates the surgical incision. A dorsal fasciotomy was performed, and contrast medium and fluid were evacuated from the dorsum of the hand. (c) Photograph taken 1 month after surgery demonstrates only a small eschar at the fasciotomy site.

 

Figure 1C
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  		Figure 1c: Severe extravasation injury in an adult patient. (a) Preoperative photograph shows that the affected hand is swollen and that the fingers are dusky. Compartment syndrome was diagnosed. (b) Photograph obtained during surgery demonstrates the surgical incision. A dorsal fasciotomy was performed, and contrast medium and fluid were evacuated from the dorsum of the hand. (c) Photograph taken 1 month after surgery demonstrates only a small eschar at the fasciotomy site.

 

Figure 2
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  		Figure 2: Severe extravasation injury in a pediatric patient. Transverse contrast-enhanced chest CT scan demonstrates extravasation of nonionic iodinated contrast medium into the left axilla, over the lung apex, and dissecting into the left spinal canal via the left T2 neural foramen.

 




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