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Case 277: Iodide Mumps.
Ariel Drori1, Liron Yosha-Orpaz1
1From the Digestive Diseases Institute, Shaare Zedek Medical Center, 12 Shmu'el Bait St, Jerusalem 9103102, Israel (A.D.); and Department of Nephrology, Hadassah Medical Center, Jerusalem, Israel (L.Y.).
A dialysis patient developed neck swelling after a catheter exchange and angioplasty. CT angiography revealed a rare complication: contrast extravasation into the neck tissues.
Area of Science:
- Nephrology
- Vascular Surgery
- Radiology
Background:
- A 64-year-old female patient with end-stage renal disease requiring hemodialysis presented with neck swelling.
- Her medical history included hypertension, hyperlipidemia, diabetes mellitus, and smoking.
Observation:
- The patient underwent a dialysis catheter exchange and balloon angioplasty for superior vena cava stenosis 3 days prior to presentation.
- She developed bilateral submandibular tender masses, measuring 3-4 cm, without reported trauma or contrast allergies.
Findings:
- CT angiography demonstrated contrast extravasation into the soft tissues of the neck.
- This finding suggests a complication related to the recent vascular interventions.
Implications:
- This case highlights a rare complication of iodinated contrast extravasation following endovascular procedures in dialysis patients.
- Prompt diagnosis via CT angiography is crucial for appropriate management.
- Awareness of this potential complication is important for clinicians managing patients with end-stage renal disease undergoing vascular interventions.
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