Silicone pulmonary embolism: report of 10 cases and review of the literature.
J Comput Assist Tomogr
; 33(2): 233-7, 2009.
Article
em En
| MEDLINE
| ID: mdl-19346851
ABSTRACT
OBJECTIVE:
To assess patient outcome and imaging findings of patients with pulmonary embolism of fluid silicone.METHODS:
Medical records and imaging examinations of 10 patients with respiratory distress after illicit injection of fluid silicone were reviewed. Population consisted of 8 male (6 male-to-female transsexuals) and 2 female subjects.RESULTS:
Average age was 29 years. Most common injection sites were gluteal and trochanteric. Respiratory symptoms developed between 15 minutes and 2 days after silicone injection. Five referred fever, 6 developed adult respiratory distress syndrome, and 2 subsequently died. Alveolar hemorrhage was demonstrated on pathological examination in 6, with silicone vacuoles in the lung parenchyma in 3. Computed tomography demonstrated peripheral ground glass opacities with interlobular septal thickening in all and peripheral airspace disease in 7.CONCLUSIONS:
Illicit injection of large volumes of fluid silicone for cosmetic purposes is associated with pulmonary embolism and acute alveolar hemorrhage and is associated with a significant mortality.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Próteses e Implantes
/
Embolia Pulmonar
/
Elastômeros de Silicone
/
Nádegas
/
Técnicas Cosméticas
/
Corpos Estranhos
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
J Comput Assist Tomogr
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos