Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Scott and White Healthcare, Texas A&M Health Science Center College of Medicine, Temple, Texas, USA.
Obstet Gynecol. 2013 Feb;121(2 Pt 2 Suppl 1):449-51. doi: 10.1097/aog.0b013e31826d21ec.
The use of dyes during cystoscopy to visualize the ureters adequately is prevalent in gynecologic surgery. Observing ureteral patency after procedures such as a hysterectomy or pelvic reconstruction is important for identifying injury to the upper urinary tract. Indigo carmine is commonly used. Knowing the possible adverse effects and being aware of unusual presentations with the use of indigo carmine are important in managing and counseling patients.
We present a case in which a patient developed indigo carmine extravasation to her upper limb after pelvic reconstructive surgery. The blue discoloration disappeared after 1 day.
Indigo carmine extravasation to other parts of the body can occur without long-term complications. It takes 24-48 hours for the dye to clear subcutaneously.
在妇科手术中，为了充分观察输尿管，在膀胱镜检查中使用染料是很常见的。观察子宫切除术或骨盆重建等手术后输尿管通畅情况对于识别上尿路损伤很重要。靛胭脂通常被使用。了解可能的不良反应，并注意使用靛胭脂时的不寻常表现，对于管理和咨询患者非常重要。
我们报告了一例患者在骨盆重建手术后出现靛胭脂外渗至上肢。蓝色变色在 1 天后消失。
靛胭脂外渗到身体其他部位可能不会引起长期并发症。染料需要 24-48 小时才能从皮下清除。
