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Case Reports in Orthopedics
Volume 2013, Article ID 638159, 4 pages
http://dx.doi.org/10.1155/2013/638159
Case Report

Forearm Compartment Syndrome of a Newborn Associated with Extravasation of Contrast Agent

1Orthopaedics and Traumatology/Hand Surgery Department, Istanbul Bilim University, Florence Nightingale Hospital, 34000 Istanbul, Turkey
2Radiology Department, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey
3Orthopaedics and Traumatology Department, Selcuk University Medical Faculty, Konya, Turkey

Received 13 March 2013; Accepted 29 May 2013

Academic Editors: M. Cadossi, M. Varshney, and T. Yamamoto

Copyright © 2013 Egemen Altan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Extravasation of contrast agents is a possible complication of imaging studies. Although extravasations typically cause minimal swelling or erythema, they can lead to compartment syndrome when the volume of extravasation is high. In this article, we will present an exceptional case where an insignificant amount of contrast agent extravasation led to a forearm compartment syndrome in a newborn, who was treated with an extended fasciotomy. We would like to emphasize the preventive techniques and treatment options of this iatrogenic complication in newborns. Close followup of the patient by the nurses, awareness of the parents and the personnel in the radiology department are the most important preventive measures in this extremity-threatening complication. Forearm compartment syndrome due to contrast agent extravasation may progress more rapidly in newborns even with smaller amounts of extravasation and prompt recognition of the pathology and immediate intervention are unevitable.