Key result
Radial forearm flap reconstruction successfully repairs tissue damage 21 days after delayed epirubicin extravasation.
Case Report (n=1)
Delayed management of epirubicin extravasation can lead to extensive tissue damage requiring complex surgical reconstruction such as a radial forearm flap.
Radial forearm flap may aid severe delayed epirubicin extravasation injury; hypothesis-generating and should not change practice.
Epirubicin is an anthracycline chemotherapy agent used for treatment of several cancers including oesophageal, breast and gastric. Extravasation is a well-recognised and serious complication of any intravenous therapies but especially chemotherapeutic agents. Signs of the injury can be subtle and without prompt recognition and treatment there can be extensive tissue damage and depending on location of injury this can result in significant functional loss. In this article, a case of delayed management of epirubicin extravasation from a cannula situated at the dorsum of the hand is discussed. Successful surgical reconstruction of the resulting substantial tissue damage using a radial forearm flap 21 days following injury is described.
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Hale et al. (2017) conducted a case report in Epirubicin extravasation (n=1). Surgical reconstruction using a radial forearm flap was evaluated on Successful surgical reconstruction of tissue damage. Surgical reconstruction using a radial forearm flap successfully repaired substantial tissue damage 21 days after delayed management of epirubicin extravasation.
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