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Imaging Findings of Liposuction with an Emphasis on Postsurgical Complications.

You JS, Chung YE, Baek SE, Chung SP, Kim MJ - Korean J Radiol (2015)

Bottom Line: These complications vary from postoperative nausea to life-threatening events.Common complications include infection, abdominal wall injury, bowel herniation, bleeding, haematoma, seroma, and lymphoedema.Life-threatening complications such as necrotizing fasciitis, deep vein thrombosis, and pulmonary embolism have also been reported.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.

ABSTRACT
Liposuction is one of the most frequently performed cosmetic surgeries worldwide for reshaping the body contour. Although liposuction is minimally invasive and relatively safe, it is a surgical procedure, and it carries the risk of major and minor complications. These complications vary from postoperative nausea to life-threatening events. Common complications include infection, abdominal wall injury, bowel herniation, bleeding, haematoma, seroma, and lymphoedema. Life-threatening complications such as necrotizing fasciitis, deep vein thrombosis, and pulmonary embolism have also been reported. In this paper, we provide a brief introduction to liposuction with the related anatomy and present computed tomography and ultrasonography findings of a wide spectrum of postoperative complications associated with liposuction.

No MeSH data available.


Related in: MedlinePlus

36-year-old woman presented with persisting fever for 4 days after liposuction.On portal venous-phase CT image, diffuse fat infiltration is seen in subcutaneous layer of body along with suspicious skin thickening. She was diagnosed with cellulitis at liposuction site and treated with intravenous antibiotics after admission.
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Figure 3: 36-year-old woman presented with persisting fever for 4 days after liposuction.On portal venous-phase CT image, diffuse fat infiltration is seen in subcutaneous layer of body along with suspicious skin thickening. She was diagnosed with cellulitis at liposuction site and treated with intravenous antibiotics after admission.

Mentions: The dissected subcutaneous layer can be a good medium for bacterial growth. If the wound or instrument is contaminated, infections from cellulitis to life-threatening necrotizing fasciitis can occur after liposuction. Cellulitis is an infection of the dermis and subcutaneous tissue and manifests as skin thickening, septation of subcutaneous fat, fascial thickening, and lymph node enlargement on CT (Fig. 3) (12). Because imaging findings of uncomplicated cellulitis may be similar to normal findings immediately after liposuction, clinical diagnosis based on symptoms such as fever, local heating sensation, pain, and erythema, as well as laboratory results including elevated C-reactive protein and white blood cell count should be considered (121718). Uncomplicated cellulitis is treated with antibiotics. Necrotizing fasciitis is defined as deep infection involving deep fascia with tissue necrosis. Necrotizing fasciitis is a surgical emergency, and radical surgical debridement of the necrotic tissue is the first treatment of choice (119). CT is the most sensitive modality for both diagnosing necrotizing fasciitis and evaluating the extent of the disease. Although the CT findings are similar to those of cellulitis, we can diagnose necrotizing fasciitis when an air bubble is noted in the muscle layer (Fig. 4) (20).


Imaging Findings of Liposuction with an Emphasis on Postsurgical Complications.

You JS, Chung YE, Baek SE, Chung SP, Kim MJ - Korean J Radiol (2015)

36-year-old woman presented with persisting fever for 4 days after liposuction.On portal venous-phase CT image, diffuse fat infiltration is seen in subcutaneous layer of body along with suspicious skin thickening. She was diagnosed with cellulitis at liposuction site and treated with intravenous antibiotics after admission.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644740&req=5

Figure 3: 36-year-old woman presented with persisting fever for 4 days after liposuction.On portal venous-phase CT image, diffuse fat infiltration is seen in subcutaneous layer of body along with suspicious skin thickening. She was diagnosed with cellulitis at liposuction site and treated with intravenous antibiotics after admission.
Mentions: The dissected subcutaneous layer can be a good medium for bacterial growth. If the wound or instrument is contaminated, infections from cellulitis to life-threatening necrotizing fasciitis can occur after liposuction. Cellulitis is an infection of the dermis and subcutaneous tissue and manifests as skin thickening, septation of subcutaneous fat, fascial thickening, and lymph node enlargement on CT (Fig. 3) (12). Because imaging findings of uncomplicated cellulitis may be similar to normal findings immediately after liposuction, clinical diagnosis based on symptoms such as fever, local heating sensation, pain, and erythema, as well as laboratory results including elevated C-reactive protein and white blood cell count should be considered (121718). Uncomplicated cellulitis is treated with antibiotics. Necrotizing fasciitis is defined as deep infection involving deep fascia with tissue necrosis. Necrotizing fasciitis is a surgical emergency, and radical surgical debridement of the necrotic tissue is the first treatment of choice (119). CT is the most sensitive modality for both diagnosing necrotizing fasciitis and evaluating the extent of the disease. Although the CT findings are similar to those of cellulitis, we can diagnose necrotizing fasciitis when an air bubble is noted in the muscle layer (Fig. 4) (20).

Bottom Line: These complications vary from postoperative nausea to life-threatening events.Common complications include infection, abdominal wall injury, bowel herniation, bleeding, haematoma, seroma, and lymphoedema.Life-threatening complications such as necrotizing fasciitis, deep vein thrombosis, and pulmonary embolism have also been reported.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.

ABSTRACT
Liposuction is one of the most frequently performed cosmetic surgeries worldwide for reshaping the body contour. Although liposuction is minimally invasive and relatively safe, it is a surgical procedure, and it carries the risk of major and minor complications. These complications vary from postoperative nausea to life-threatening events. Common complications include infection, abdominal wall injury, bowel herniation, bleeding, haematoma, seroma, and lymphoedema. Life-threatening complications such as necrotizing fasciitis, deep vein thrombosis, and pulmonary embolism have also been reported. In this paper, we provide a brief introduction to liposuction with the related anatomy and present computed tomography and ultrasonography findings of a wide spectrum of postoperative complications associated with liposuction.

No MeSH data available.


Related in: MedlinePlus