Compartment syndrome secondary to intra-operative IV methylene blue extravasation to detect ureteral injury

Huda AlShammari 1, Wafa AlDuwaisan 1, Zahra Akbar 1, Talal Al-Qaoud 2, Tariq Al-Shaiji 2

Affiliations

doi: 10.1016/j.eucr.2023.102340

Abstract

Compartment syndrome of the extremities is a rare but potentially devastating condition. We herein report a case of a 53-year old female with an unusual case of hand compartment syndrome and fasciitis secondary to methylene blue (MB) extravasation to detect urinary tract injury intraoperatively. This was recognized immediately and fasciotomy was performed. Features of this case are discussed together with its implications. Despite MB's long history of use, few adverse events of an accidental extravasation have been reported.

Keywords: Compartment syndrome; MB, Methylene blue; Methylene blue; Ureteric injury.

Figures

Fig. 1 1A, 1B – Pre and post right hand fasciotomy.

Fig. 1 1A, 1B – Pre and post right hand fasciotomy.

Fig. 1 1A, 1B – Pre and post right hand fasciotomy.

Fig. 1 1A, 1B – Pre and post right hand fasciotomy.

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KMEL References

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