FATTY EMBOLISM ASSOCIATED WITH LIPOSUCTION AND FATTY SELF-GRAFTING

Authors

  • Marcela Balmaceda Chaves Residente de Medicina Legal, Universidad de Costa Rica, Departamento de Medicina Legal, Poder Judicial

Keywords:

Fat embolism, fatty embolism syndrome, liposuction, acute respiratory distress syndrome, acute respiratory failure.

Abstract

We report the case of a 30-year-old woman with cirrhosis due to autoimmune hepatitis, who entered a private clinic to perform lipoinjection and fat liposuction; At the end of surgery, progressive reduction of oxygen saturation levels and capnometry, marking strokes of electrical activity without pulse, CPR maneuvers, and enipinefrin administration were performed, with no results. She was transferred to the hospital where CPR maneuvers were performed again, and later, less than one hour after her admission, the absence of heart disease was corroborated by ultrasound and the patient was declared deceased. Fat embolism is known to be a frequent entity in orthopedic surgeries; however, given the increase in the supply and demand of plastic surgeries, among them liposuction, it has been presented with a greater incidence in aesthetic procedures with the passing of the time, taking greater interest and among the doctors who perform such procedures.

References

1. Atiyeh, B., Costagliala, M., Illouz, Y., Dibo, S., Zgheib, E. &Rampillon, F. (2015). Functionaland Therapeutic Indications Of Liposuction. Annals of Plastic Surgey, Vol 75, N°2, 231-245

2. Ballesteros, C., Hernández, J., Sánchez, H. y Ávila A. (2008). Embolismo graso y síndrome de embolismo graso. Revista médica del Hospital de México. Vol 17, pp49-56. Recuperado el 08/12/2016, de: http://www.medigraphic.com/pdfs/h-gral/hg- 2008/hg081i.pdf

3. Calero, A., Manchado, M., Carrasco, J., Fernández, G., Quintana, J., Cintado, M. y Prieto, (2008). Embolismo graso. Revista de la Sociedad Andaluza de Traumatología y Ortopedia. Vol 26. Recuperado el 07/12/2016, de: http://www.elsevier.es/es-revista- revista-sociedad-andaluza-traumatologia-ortopedia-130-articuloembolismo-graso- 13134505

4. Campos, C y Flors, P. (2012). Síndrome de embolia grasa tras fractura ósea. Recuperado el 10/12/2016, de: http://www.revclinesp.es/es/sindrome-embolia-grasa-tras- fractura/articulo/S0014256512003062/

5. Cardenas, L. (2013). Transferencia de tejido graso autólogo: un procedimiento quirúrgico multifuncional. Cirugía plástica ibero latinoamericana. Vol 39, pp 90-98. Recuperado el 10/12/2016, de: http://scielo.isciii.es/pdf/cpil/v39s1/original16.pdf

6. Dixit, V. &Wagh, M. (2013). Unfavourable outcomes of liposuction and their managmente.IndianJournal Of Plastic Surgey, 377-392

7. Dubón, M. y López, O. (2014). Lipoescultura con lipoinjerto de grasa en glúteos. Recuperado el 10/12/2016, de: http://www.medigraphic.com/pdfs/facmed/un- 2014/un146h.pdf

8. Kumar, V., Abbas, A., Fausto, N. y Aster, J. (2010). Robbins y Cotran Patología estructural y funcional. Elsevier: España.

9. Morgan, G., Mikhai, M., y Murray, M. (2006). Anestesiología Clínica. Manual Moderno: México.

10. Restrepo, G. (2012). Complicaciones asociadas a liposucción: más allá de los titulares de prensa. Revista Colombiana de Anestesiología. Vol XXIX. Recuperado el 06/12/2016, de: http://www.redalyc.org/pdf/1951/195118196009.pdf

11. Santos, L. y Gotés, J. (2005). Embolia grasa: un síndrome clínico complejo. Revista del Instituto ACIONAL DE Enfermedades Respiratorias. Vol 18, 99 230-239. Recuperado el 08/12/2016, de: http://www.scielo.org.mx/pdf/iner/v18n3/v18n3a11.pdf

12. Vallejo, M. (2012). Embolia grasa. Revista mexicana de anestesiología. Vol 35, pp 150-154. Recuperado el 10/10/2016, de: http://www.medigraphic.com/pdfs/rma/cma- 2012/cmas121d8.pdf

Published

2020-11-13

How to Cite

FATTY EMBOLISM ASSOCIATED WITH LIPOSUCTION AND FATTY SELF-GRAFTING. (2020). Medicina Legal De Costa Rica, 34(1). https://www.binasss.sa.cr/ojssalud/index.php/mlcr/article/view/58