Journal of Pharmacology and Pharmacotherapeutics

CASE REPORT
Year
: 2016  |  Volume : 7  |  Issue : 1  |  Page : 44--47

Acute compartment syndrome of hand resulting from radiographic contrast iohexol extravasation


Kolar Vishwanath Vinod, Rampelli Shravan, Radhakrishnan Shrivarthan, Pedapati Radhakrishna, Tarun Kumar Dutta 
 Department of General Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India

Correspondence Address:
Kolar Vishwanath Vinod
Department of General Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantri Nagar, Puducherry - 605 006
India

Intravenous (IV) administration of iodinated contrast agents (ICAs) is frequently employed for image enhancement while performing radiographic studies such as computed tomography and angiography. Complications related to IV administration of ICAs such as immediate hypersensitivity reactions and nephrotoxicity are well-known. However, severe skin and soft tissue injuries and acute compartment syndrome resulting from contrast extravasation are rare. This is especially so with small volume extravasation of a low osmolar, nonionic ICA such as iohexol. Here, we report a 63-year-old woman who developed acute compartment syndrome of left hand following iohexol extravasation and had swelling, blistering, cutaneous and soft tissue necrosis. She underwent fasciotomy for acute compartment syndrome of hand and later surgical debridement of necrotic skin and soft tissues was carried out. Clinical pharmacology of ICAs, extravasation injuries following their IV administration, their management and measures to reduce them are discussed in brief.


How to cite this article:
Vinod KV, Shravan R, Shrivarthan R, Radhakrishna P, Dutta TK. Acute compartment syndrome of hand resulting from radiographic contrast iohexol extravasation.J Pharmacol Pharmacother 2016;7:44-47


How to cite this URL:
Vinod KV, Shravan R, Shrivarthan R, Radhakrishna P, Dutta TK. Acute compartment syndrome of hand resulting from radiographic contrast iohexol extravasation. J Pharmacol Pharmacother [serial online] 2016 [cited 2020 Sep 19 ];7:44-47
Available from: http://www.jpharmacol.com/article.asp?issn=0976-500X;year=2016;volume=7;issue=1;spage=44;epage=47;aulast=Vinod;type=0