Early intervention reduces morbidity in extravasation injuries from ‘lighter fuel’ injection

Summary Injection of ‘lighter fuel’ with suicidal intent is rare. Extravasation of the chemical may rarely cause systemic toxicity, but usually it results in extensive soft tissue damage. Such injuries when managed by the traditional expectant policy are associated with considerable morbidity. Early...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2007-01, Vol.60 (12), p.1342-1344
Main Authors: Thaha, M.A, McKinnell, T.H, Graham, K.E, Naasan, A.N
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Burns, Chemical - psychology
Burns, Chemical - surgery
Extravasation injury
Female
Fuel Oils - toxicity
Humans
Injections
Lighter fuel
Medical sciences
Petroleum distillate
Plastic Surgery
Saline flush out
Self-Injurious Behavior - psychology
Suicide, Attempted - psychology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
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Summary:Summary Injection of ‘lighter fuel’ with suicidal intent is rare. Extravasation of the chemical may rarely cause systemic toxicity, but usually it results in extensive soft tissue damage. Such injuries when managed by the traditional expectant policy are associated with considerable morbidity. Early aggressive surgical management using ‘saline flush out’ limits the tissue damage by stopping the natural progression of the chemical mediated injury and the subsequent inflammatory response, thereby allowing better skin preservation and functional outcome in these cases. We report a case of ‘lighter fuel’ subcutaneous extravasation injury managed by ‘saline flush out’ technique soon after presentation.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2006.01.044