Coronado-Malagón Martin, Tauffer-Carrion Luis Tomas
Emergency Room Service, Hospital Central Sur de Alta Especialidad (HCSAE) de PEMEX, Mexico City, Mexico.
Can J Plast Surg. 2012 Fall;20(3):197-8. doi: 10.1177/229255031202000307.
A 54-year-old woman presented to the emergency department 24 h after undergoing abdominal liposuction, bilateral breast augmentation and facial fat grafting at a private plastic surgery clinic. She presented with the classic evolution of a bowel perforation secondary to abdominal liposuction. A computed tomography (CT) scan found free air in her abdominal cavity. Based on the CT scan and the persistent pain experienced by the patient, an abdominal laparatomy was urgently performed. A jejunum perforation was found and was treated with a resection of the affected segment followed by intestinal anastomosis. The patient had a successful recovery and was discharged seven days later. The present article also reviews the classical presentation of a bowel perforation following abdominal liposuction.
一名54岁女性在一家私立整形诊所接受腹部抽脂、双侧隆胸和面部脂肪移植24小时后前往急诊科就诊。她呈现出腹部抽脂继发肠穿孔的典型病程。计算机断层扫描(CT)发现其腹腔内有游离气体。基于CT扫描结果及患者持续存在的疼痛,紧急进行了剖腹探查术。发现空肠穿孔,对受累肠段进行切除并随后进行肠吻合术。患者恢复顺利,7天后出院。本文还回顾了腹部抽脂后肠穿孔的典型表现。