Contrast extravasation

Case contributed by Derek Smith
Diagnosis certain

Presentation

Attended for contrast enhanced study, but possible extravasation into arm.

Patient Data

Age: 50 year
Gender: Female
x-ray

Diffuse opacification of the anterior soft tissues of the arm and forearm consistent with contrast extravasation.

No focal collection.

Case Discussion

This radiograph demonstrated contrast filling the soft tissues of the arm, from an extravasated cannula in the antecubital fossa. Clincially, there was marked swelling of the forearm, with blistering in the antecubital fossa.

This was sugically explored and washed out, with no long-term sequelae.

Unsurprisingly, the patient was not keen on any further investigations for the original complaint.

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