Necrotizing Soft Tissue Infection and Perforated Viscus After Suction-Assisted Lipectomy.

antibiotics complication cosmetic surgery liposuction necrotizing fasciitis necrotizing soft tissue infections nsti perforated viscus plastic surgery

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
14 Jun 2020
Historique:
entrez: 18 7 2020
pubmed: 18 7 2020
medline: 18 7 2020
Statut: epublish

Résumé

Suction-assisted lipectomy (SAL) is a commonly performed cosmetic surgery in the United States and has been steadily increasing in popularity over the past few years. As more of these surgeries are performed, several rare but life-threatening complications are being recognized, including necrotizing soft tissue infections (NSTIs). NSTIs require rapid surgical intervention but can be challenging to diagnose, as skin manifestations may be difficult to differentiate from normal post-SAL changes. We present a case of a 44-year-old female who presented with signs of septic shock after SAL of her abdomen and back. She was ultimately found to have an NSTI of her abdominal wall, likely due to perforated viscus that occurred as a complication of her procedure. This case demonstrates the significance of recognizing NSTIs as a potential complication of SAL in ill-appearing patients with non-specific symptoms and septic shock.

Identifiants

pubmed: 32676252
doi: 10.7759/cureus.8617
pmc: PMC7362623
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e8617

Informations de copyright

Copyright © 2020, De la Fuente et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Aesthetic Plast Surg. 2017 Apr;41(2):352-358
pubmed: 28062962
Korean J Radiol. 2015 Nov-Dec;16(6):1197-206
pubmed: 26576108
Br J Surg. 2014 Jan;101(1):e119-25
pubmed: 24338771
Plast Reconstr Surg. 2003 Oct;112(5):1435-41; discussion 1442-3
pubmed: 14504529
Plast Reconstr Surg. 2005 May;115(6):1715-21; discussion 1722
pubmed: 15861079
Ann Med Surg (Lond). 2017 Nov 06;24:53-60
pubmed: 29158895
Aesthet Surg J. 2017 Jan;37(1):89-99
pubmed: 27694451
Infect Dis Clin North Am. 2017 Sep;31(3):497-511
pubmed: 28779832
Plast Reconstr Surg Glob Open. 2017 Oct 25;5(10):e1539
pubmed: 29184746
Plast Reconstr Surg. 2013 Dec;132(6):1697-705
pubmed: 24281595
Indian J Plast Surg. 2014 Sep-Dec;47(3):436-40
pubmed: 25593436
J Cutan Aesthet Surg. 2008 Jul;1(2):49-57
pubmed: 20300344
AJR Am J Roentgenol. 2015 Jan;204(1):128-39
pubmed: 25539248
Cureus. 2020 Feb 3;12(2):e6856
pubmed: 32181091
N Engl J Med. 2017 Dec 7;377(23):2253-2265
pubmed: 29211672
Aesthetic Plast Surg. 2018 Apr;42(2):384-387
pubmed: 29387943
Ultrasound Med Biol. 2019 Jul;45(7):1545-1550
pubmed: 31031033
Clin Infect Dis. 2014 Jul 15;59(2):147-59
pubmed: 24947530
South Med J. 1998 May;91(5):487-92
pubmed: 9598863

Auteurs

Justin Rafael O De la Fuente (JRO)

Critical Care Medicine, University of Miami Miller School of Medicine, Miami, USA.

Anwar Ferdinand (A)

Emergency Medicine, Jackson Memorial Hospital, Miami, USA.

Matthew Dybas (M)

Emergency Medicine, Jackson Memorial Hospital, Miami, USA.

Tim Montrief (T)

Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, USA.

Jorge Cabrera (J)

Pulmonary and Critical Care Medicine, University of Miami Miller School of Medicine, Miami, USA.

Classifications MeSH