Published in:
01-04-2015 | Clinical Practice: Clinical Images
Contrast Extravasation into the Right Upper Extremity
Published in: Journal of General Internal Medicine | Issue 4/2015
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A 76-year-old man with an esophageal diverticulum presented for computed tomography (CT) of the neck. During the CT scan, the deep brachial intravenous access site infiltrated with extravasation of approximately 100 cc of iodinated contrast into the right upper extremity, associated with localized pain. Examination after the infusion demonstrated induration and swelling of the arm without neurovascular compromise (Fig. 1). A scout radiograph performed with the CT demonstrated radio-opaque material surrounding the biceps muscle (Fig. 2). The plastic surgery consultant recommended conservative management, and the patient was discharged with warm compresses and arm elevation.
Figure 1.
Right upper extremity with localized swelling.
Figure 2.
CT scout film demonstrating extravasation of contrast into the proximal right upper extremity.
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