Wills Steven, Byard Roger W
Forensic Science SA, 21 Divett Place, Adelaide, 5000, Australia.
School of Medicine, The University of Adelaide, Frome Road, Level 2 Helen Mayo North, Adelaide, SA, 5005, Australia.
Forensic Sci Med Pathol. 2019 Jun;15(2):304-308. doi: 10.1007/s12024-018-0064-x. Epub 2018 Dec 19.
A 62-year-old man died following injection of liquid silicone into his external genitalia and chest wall. The body was discovered naked, apart from a pair of black women's high-heeled shoes, black ankle restraints, which were chained together, and disposable medical gloves. Medical items in the house included syringes, needles, alcohol wipes and unmarked/labelled empty brown glass medical bottles. At autopsy the external genitalia were markedly enlarged with white dressings over injection sites in the scrotum, penis and above the left nipple. Histological examination of the scrotum, penis and breast showed a florid granulomatous foreign body giant cell reaction and scarring surrounding numerous optically clear vacuoles. The lungs also showed numerous vacuoles within the interstitium in keeping with embolization of injected material. Death was due to silicone embolization. Despite the dangers of liquid silicone injections for soft tissue augmentation, and the ban on its use for medical cosmetic procedures, this practice continues.
一名62岁男子在向其外生殖器和胸壁注射液体硅胶后死亡。尸体被发现时全身赤裸，身旁有一双黑色女式高跟鞋、一副用链子拴在一起的黑色脚踝束缚带以及一次性医用手套。屋内的医疗用品包括注射器、针头、酒精擦拭巾以及未标记/未贴标签的空棕色玻璃药瓶。尸检时，外生殖器明显肿大，阴囊、阴茎及左乳头上方的注射部位覆盖着白色敷料。对阴囊、阴茎和乳房进行组织学检查发现，有明显的肉芽肿性异物巨细胞反应，且在众多光学透明的空泡周围有瘢痕形成。肺部间质内也可见大量空泡，符合注射物质的栓塞表现。死因是硅胶栓塞。尽管液体硅胶注射用于软组织填充存在风险，且已禁止将其用于医疗美容手术，但这种做法仍在继续。
