Small intestinal perforation and necrotizing fasciitis after abdominal liposuction.
Abstract
Liposuction, the most common aesthetic procedure performed in the United States, is not without risk, but the overall complication rate in the literature varies from less than 1% to 9.3%. A 55-year-old woman who had undergone abdominal liposuction with bilateral breast augmentation was hospitalized in a state of profound septic shock. A diagnosis of necrotizing fasciitis was made on the basis of findings that included abdominal skin discoloration, subcutaneous emphysema, and air in the subcutaneous plane seen on abdominal computed tomography (CT) scan. During the operative procedure for abdominal wall debridement, extensive necrosis of abdominal wall fascia with leakage of bilious fluid from defects in the rectus sheath was found. Subsequent peritoneal cavity exploration showed two perforations in the mid ileum with gross peritoneal cavity contamination.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | liposuction
|
지방흡입 | dict | 3 | |
| 해부 | subcutaneous
|
피하조직 | dict | 2 | |
| 시술 | breast augmentation
|
유방성형술 | dict | 1 | |
| 해부 | ileum
|
scispacy | 1 | ||
| 해부 | breast
|
유방 | dict | 1 | |
| 합병증 | abdominal liposuction
|
scispacy | 1 | ||
| 합병증 | fasciitis
|
scispacy | 1 | ||
| 합병증 | abdominal skin
|
scispacy | 1 | ||
| 합병증 | abdominal
|
scispacy | 1 | ||
| 합병증 | rectus sheath
|
scispacy | 1 | ||
| 합병증 | necrosis
|
괴사 | dict | 1 | |
| 질환 | fasciitis
|
C0015645
Fasciitis
|
scispacy | 1 | |
| 질환 | septic shock
|
C0036983
Septic Shock
|
scispacy | 1 | |
| 질환 | abdominal skin discoloration
|
scispacy | 1 | ||
| 질환 | emphysema
|
C0013990
Pathological accumulation of air in tissues
|
scispacy | 1 | |
| 질환 | bilious
|
scispacy | 1 | ||
| 질환 | perforations
|
C0549099
Perforation (observation)
|
scispacy | 1 | |
| 기타 | Small intestinal
|
scispacy | 1 | ||
| 기타 | abdominal wall
|
scispacy | 1 | ||
| 기타 | abdominal wall fascia
|
scispacy | 1 | ||
| 기타 | peritoneal cavity
|
scispacy | 1 |
MeSH Terms
Abdominal Fat; Breast Implantation; Fasciitis, Necrotizing; Fatal Outcome; Humans; Intensive Care Units; Intestinal Perforation; Intestine, Small; Lipectomy; Postoperative Complications; Radiography
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