A case of fat embolism syndrome after liposuction

Yoshiko Sasaki, Hiroshi Uchi, Masutaka Furue

Research output: Contribution to journalArticle

Abstract

A 29-year-old woman underwent abdominal liposuction 13 days before her first visit to our hospital. Nine days later, she had fever and a painful erythema and swelling at the operation sites that rapidly became exacerbated and formed bullae the next day. On admission to the emergency room, she was suspected to have a pulmonary embolism. The abdominal lesion became necrotic and the laboratory findings revealed leukocytosis, elevated C-reactive protein, anemia, and a coagulation abnormality. Echocardiography and a pulmonary CT scan showed pulmonary artery dilatation without an overt thrombus, leading to a diagnosis of pulmonary embolism due to fat embolism. Septic shock was ruled out because of a negative bacterial culture result for the necrotic tissue obtained by surgical debridement. Despite the subsequent development of acute respiratory distress syndrome, she was successfully treated and survived. Fat embolism syndrome is a rare but serious complication after liposuction. Careful observation is needed after this procedure.

Original languageEnglish
Pages (from-to)459-462
Number of pages4
JournalNishinihon Journal of Dermatology
Volume79
Issue number5
DOIs
Publication statusPublished - Jan 1 2017

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Fat Embolism
Lipectomy
Pulmonary Embolism
Leukocytosis
Adult Respiratory Distress Syndrome
Debridement
Erythema
Blister
Septic Shock
C-Reactive Protein
Pulmonary Artery
Echocardiography
Hospital Emergency Service
Anemia
Dilatation
Thrombosis
Fever
Observation
Lung

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

A case of fat embolism syndrome after liposuction. / Sasaki, Yoshiko; Uchi, Hiroshi; Furue, Masutaka.

In: Nishinihon Journal of Dermatology, Vol. 79, No. 5, 01.01.2017, p. 459-462.

Research output: Contribution to journalArticle

Sasaki, Yoshiko ; Uchi, Hiroshi ; Furue, Masutaka. / A case of fat embolism syndrome after liposuction. In: Nishinihon Journal of Dermatology. 2017 ; Vol. 79, No. 5. pp. 459-462.
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