Citation

Wasserman P, Kurra C, Taylor K, Fields JR, Caldwell M. Radiol. Case Rep. 2019; 14(11): 1452-1457.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.radcr.2019.09.013

PMID

unavailable

Abstract

Intraosseous needle access is a reliable method of vascular access used for rapid fluid resuscitation and delivery of medications in certain emergent settings. Fluid extravasation is a possible complication of intraosseous needle access that can lead to compartment syndrome. To our knowledge, imaging findings resulting from this complication have not been described. In this case report, we demonstrate conventional radiograph, computed tomography, and magnetic resonance image findings due to extravasation of resuscitation fluids following the aberrant insertion of an intraosseous needle in an unstable adult trauma patient. We also describe a new radiographic sign associated with this iatrogenic complication, the "Nicked-Cortex" sign. © 2019 The Authors

Language: en

Keywords

adult; human; female; case report; suicide attempt; clinical article; priority journal; nuclear magnetic resonance imaging; heart arrest; erythema; leg pain; Compartment syndrome; Article; fluid resuscitation; vascular access; extravasation; muscle bleeding; leg swelling; x-ray computed tomography; “Nicked-Cortex” sign; anterior tibial syndrome; Extravasation; fluid extravasation; Intraosseous needle