Limits...
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

47-year-old man presented with abdominal distension for 5 days and dyspnoea for 2 days. He had undergone liposuction 5 days previously at local clinic.A. On portal venous-phase coronal CT image, abrupt luminal narrowing of small bowel lumen (arrow) is seen. B. Proximal small bowel was diffusely dilated. Focal defect in rectus muscle (arrowheads) was also detected. On diagnostic laparotomy, perfusion was decreased in distal small bowel loop, and segmental resection of ischemic bowel loop was performed. C. Small perforation site was detected, as seen, at resected small bowel loop (arrow). There were also defects in rectus muscle, in sheath below umbilicus, and at liposuction site. Primary repair of these defects was performed during surgery. Despite undergoing emergency operation, patient did not recover from sepsis and died from multi-organ failure.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4644740&req=5

Figure 6: 47-year-old man presented with abdominal distension for 5 days and dyspnoea for 2 days. He had undergone liposuction 5 days previously at local clinic.A. On portal venous-phase coronal CT image, abrupt luminal narrowing of small bowel lumen (arrow) is seen. B. Proximal small bowel was diffusely dilated. Focal defect in rectus muscle (arrowheads) was also detected. On diagnostic laparotomy, perfusion was decreased in distal small bowel loop, and segmental resection of ischemic bowel loop was performed. C. Small perforation site was detected, as seen, at resected small bowel loop (arrow). There were also defects in rectus muscle, in sheath below umbilicus, and at liposuction site. Primary repair of these defects was performed during surgery. Despite undergoing emergency operation, patient did not recover from sepsis and died from multi-organ failure.

Mentions: Although the cannula is inserted into the subcutaneous layer of the abdominal wall, it can damage deeper structures such as the abdominal wall muscle or even the small bowel (5). Generally, this is because the cannula is inserted blindly without imaging guidance, and if the insertion angle of the cannula is larger, it can penetrate the abdominal muscle or peritoneum. Abdominal muscle injury can result in bowel herniation through the defect in the abdominal muscle (Fig. 5). The bowel wall can also be damaged during liposuction, resulting in bowel perforation or bowel obstruction (Fig. 6). Abdominal or bowel wall perforation is the second most common cause of mortality after liposuction (9). Rarely, damage to other internal organs such as the gallbladder, pancreas, and spleen has been reported (13).


Imaging Findings of Liposuction with an Emphasis on Postsurgical Complications.

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

47-year-old man presented with abdominal distension for 5 days and dyspnoea for 2 days. He had undergone liposuction 5 days previously at local clinic.A. On portal venous-phase coronal CT image, abrupt luminal narrowing of small bowel lumen (arrow) is seen. B. Proximal small bowel was diffusely dilated. Focal defect in rectus muscle (arrowheads) was also detected. On diagnostic laparotomy, perfusion was decreased in distal small bowel loop, and segmental resection of ischemic bowel loop was performed. C. Small perforation site was detected, as seen, at resected small bowel loop (arrow). There were also defects in rectus muscle, in sheath below umbilicus, and at liposuction site. Primary repair of these defects was performed during surgery. Despite undergoing emergency operation, patient did not recover from sepsis and died from multi-organ failure.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 6: 47-year-old man presented with abdominal distension for 5 days and dyspnoea for 2 days. He had undergone liposuction 5 days previously at local clinic.A. On portal venous-phase coronal CT image, abrupt luminal narrowing of small bowel lumen (arrow) is seen. B. Proximal small bowel was diffusely dilated. Focal defect in rectus muscle (arrowheads) was also detected. On diagnostic laparotomy, perfusion was decreased in distal small bowel loop, and segmental resection of ischemic bowel loop was performed. C. Small perforation site was detected, as seen, at resected small bowel loop (arrow). There were also defects in rectus muscle, in sheath below umbilicus, and at liposuction site. Primary repair of these defects was performed during surgery. Despite undergoing emergency operation, patient did not recover from sepsis and died from multi-organ failure.
Mentions: Although the cannula is inserted into the subcutaneous layer of the abdominal wall, it can damage deeper structures such as the abdominal wall muscle or even the small bowel (5). Generally, this is because the cannula is inserted blindly without imaging guidance, and if the insertion angle of the cannula is larger, it can penetrate the abdominal muscle or peritoneum. Abdominal muscle injury can result in bowel herniation through the defect in the abdominal muscle (Fig. 5). The bowel wall can also be damaged during liposuction, resulting in bowel perforation or bowel obstruction (Fig. 6). Abdominal or bowel wall perforation is the second most common cause of mortality after liposuction (9). Rarely, damage to other internal organs such as the gallbladder, pancreas, and spleen has been reported (13).

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