Small intestinal perforation and peritonitis after abdominal suction lipoplasty.
Ann Plast Surg
; 38(6): 642-4, 1997 Jun.
Article
em En
| MEDLINE
| ID: mdl-9188982
ABSTRACT
Suction lipoplasty for abdominal contouring in nonoperated patients is considered a safe procedure with a low incidence of local and systemic complications. Suction lipoplasty combined with a full abdominoplasty is, however, still controversial with a higher rate of local complications. A 56-year-old woman with a history of four laparotomies and two abdominoplasties was hospitalized with abdominal pain and signs of peritonitis after an ambulatory suction lipoplasty. During laparotomy for peritonitis the abdominal wall was found to be stiff and fibrotic, with massive adhesions to the intestine. Two small intestinal perforations caused soiling into the peritoneum. The perforated intestinal segment was resected and the postoperative history was uneventful. Both recent and former laparotomies in the lower abdomen represent a possible risk when suction lipoplasty is performed. An ultrasonographic or computed tomographic scan of the abdominal wall would identify or rule out any underlying fascial defect or hernia.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Peritonite
/
Complicações Pós-Operatórias
/
Cirurgia Plástica
/
Lipectomia
/
Músculos Abdominais
/
Perfuração Intestinal
Tipo de estudo:
Prognostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Ann Plast Surg
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Noruega