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Methylene blue extravasation during parathyroidectomy.

K I Birnie1, C Mearns2, N Choudhury3

  • 1Department of Anaesthesia Surrey and Sussex NHS Trust Redhill UK.

Anaesthesia Reports
|June 23, 2025
PubMed
Summary
This summary is machine-generated.

Methylene blue extravasation occurred in a patient during parathyroidectomy. This case highlights the need for clear national guidelines for managing this rare complication.

Keywords:
extravasationmethylene blueparathyroidectomy

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Area of Science:

  • Medical Case Reports
  • Surgical Complications
  • Pharmacology

Background:

  • Methylene blue is a vital stain and therapeutic agent used in various medical procedures.
  • Extravasation injuries can occur during intravenous administration of medications.
  • Parathyroidectomy is a surgical procedure with potential complications.

Purpose of the Study:

  • To report a rare case of methylene blue extravasation during parathyroidectomy.
  • To discuss the management strategies for this specific complication.
  • To review existing literature and identify gaps in clinical guidance.

Main Methods:

  • Case report detailing the incident, patient presentation, and treatment.
  • Literature review comparing the current case with previously reported incidents.
  • Analysis of management approaches and outcomes.

Main Results:

  • Successful management of methylene blue extravasation in the hand and forearm.
  • Comparison with limited existing literature on similar events.
  • Identification of a lack of standardized national protocols.

Conclusions:

  • Methylene blue extravasation is a rare but significant complication during parathyroidectomy.
  • Prompt and appropriate management is crucial for patient outcomes.
  • There is an unmet need for national guidelines to standardize care for methylene blue extravasation.