Raman Shankar R, Pokala Naveen, Cosgrove John, Jamil Zafar
Department of Surgery, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
Ann Plast Surg. 2010 Apr;64(4):503-5. doi: 10.1097/SAP.0b013e3181b4bcaa.
Suction lipoplasty is considered to be a relatively safe procedure but is not without complications, some of which are lethal. Colonic injury after liposuction has not been reported so far, although small intestinal perforations are known to occur. We present a case of colocutaneous fistula after suction lipoplasty that was successfully managed nonoperatively. A 56-year-old man with history of abdominoplasty presented with feculent discharge from the abdominal wall 7 days after liposuction. A computed tomography scan of the abdomen showed free intraperitoneal air, with a suspected transverse colonic fistula to the skin. After drainage of abdominal wall abscess, he recovered and the fistula spontaneously closed. Abdominal wall hernias, abdominal operations, and immunosuppression are risk factors for abdominal and intestinal perforations after lipoplasty. Low output colocutaneous fistulae after lipoplasty may close spontaneously unlike small intestinal perforations.
抽脂塑形术被认为是一种相对安全的手术，但并非没有并发症，其中一些甚至会致命。尽管已知抽脂后会发生小肠穿孔，但目前尚未有抽脂后结肠损伤的报道。我们报告一例抽脂塑形术后结肠皮肤瘘，该病例通过非手术治疗成功治愈。一名有腹壁整形手术史的56岁男性在抽脂术后7天出现腹壁粪性排出物。腹部计算机断层扫描显示腹腔内有游离气体，怀疑横结肠与皮肤形成瘘管。腹壁脓肿引流后，患者康复，瘘管自行闭合。腹壁疝、腹部手术和免疫抑制是抽脂塑形术后腹部和肠道穿孔的危险因素。抽脂塑形术后低流量的结肠皮肤瘘可能会自行闭合，这与小肠穿孔不同。
