Simoni Paolo, Scarciolla Laura, Maréchal Carole, Mustapha Selma Ben, Zobel Bruno Beomonte
Service of MSK imaging, University Hospital of Liege (CHU), Domain du Sart Tilman Bat. 45, 4000-B Liege, Belgium.
Departement of Radiology, University Campus Bio-medico, Via Alvaro del Portillo, 200, 00128 Rome, Italy.
Cardiol Res. 2011 Dec;2(6):307-309. doi: 10.4021/cr120w. Epub 2011 Nov 20.
We report a case of Volkmann's-like syndrome occurred after an extravasation of 300 mg of cordarone administrated for a cardiac arrest.The day following the extravasation, an extensive necrosis of the skin and soft tissues occurred. The patient progressively developed a retraction of the muscles of her forearm. To the best of our knowledge this is first the reported case of an acute necrosis of the soft tissue inducing a Volkmann's-like retraction of the upper limb subsequent to a cordarone extravasation. The imaging findings are provided along with a review of the literature.
我们报告了一例在因心脏骤停静脉注射300毫克可达龙后发生渗漏而出现类似Volkmann综合征的病例。渗漏后的第二天,皮肤和软组织出现广泛坏死。患者前臂肌肉逐渐出现挛缩。据我们所知,这是首例报道的因可达龙渗漏导致上肢软组织急性坏死并引起类似Volkmann挛缩的病例。本文提供了影像学检查结果并对相关文献进行了综述。