Related Experiment Video
Updated: May 14, 2026
Complete Laparoscopic Radical Resection of Perihilar Cholangiocarcinoma Type IIIb
Published on: January 17, 2025
Indigo carmine extravasation to upper limb after pelvic reconstructive surgery.
Fiona M Lindo1, Christopher P Chung, Paul M Yandell
1Section 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. flindo@sw.org
Indigo carmine dye used in gynecologic surgery can cause temporary skin discoloration if it extravasates. This condition, known as indigo carmine extravasation, typically resolves within 48 hours without lasting complications.
Area of Science:
- Urology
- Gynecologic Surgery
- Medical Imaging
Background:
- Dyes like indigo carmine are frequently used in gynecologic surgery for cystoscopy.
- Adequate visualization of ureters is crucial for identifying upper urinary tract injuries post-hysterectomy or pelvic reconstruction.
Observation:
- A case of indigo carmine extravasation to the upper limb occurred in a patient after pelvic reconstructive surgery.
- The patient exhibited blue discoloration in the affected limb.
Findings:
- Indigo carmine extravasation can manifest in unexpected body parts.
- The blue discoloration from subcutaneous dye extravasation resolved within 24-48 hours.
Implications:
- Awareness of potential indigo carmine extravasation is important for patient management and counseling.
- Extravasation of indigo carmine does not appear to cause long-term complications.
- Understanding unusual presentations aids in clinical practice.
Related Concept Videos
01:19Imaging Studies VII: Vascular Imaging
01:23Peripheral Artery Disease V: Postoperative Nursing Management