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腹部抽脂、双侧隆胸及面部脂肪移植术后空肠穿孔。

Jejunal perforation after abdominal liposuction, bilateral breast augmentation and facial fat grafting.

作者信息

Coronado-Malagón Martin, Tauffer-Carrion Luis Tomas

机构信息

Emergency Room Service, Hospital Central Sur de Alta Especialidad (HCSAE) de PEMEX, Mexico City, Mexico.

出版信息

Can J Plast Surg. 2012 Fall;20(3):197-8. doi: 10.1177/229255031202000307.

Abstract

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.

摘要

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。

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本文引用的文献

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Does concomitant breast surgery add morbidity to abdominoplasty?
Aesthet Surg J. 2007 Nov-Dec;27(6):612-5. doi: 10.1016/j.asj.2007.07.006.
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Small intestinal perforation and peritonitis after liposuction.抽脂术后小肠穿孔与腹膜炎
Aesthetic Plast Surg. 2007 Sep-Oct;31(5):589-92. doi: 10.1007/s00266-007-0050-2. Epub 2007 Jul 20.
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Fatal outcomes from liposuction: census survey of cosmetic surgeons.抽脂术导致的致命后果:整形外科医生的普查
Plast Reconstr Surg. 2000 Jan;105(1):436-46; discussion 447-8. doi: 10.1097/00006534-200001000-00070.
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Deaths related to liposuction.与抽脂手术相关的死亡病例。
N Engl J Med. 1999 May 13;340(19):1471-5. doi: 10.1056/NEJM199905133401904.

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