Singarajah Anantha, Wang Albert, Sayegh Julie, Vilke Gary M, Quenzer Faith C
Lincoln Memorial University - DeBusk College of Osteopathic Medicine, Harrogate, Tennessee.
Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):595-598. doi: 10.5811/cpcem.2020.9.48838.
Silicone has been commonly used for both major and minor plastic and reconstructive surgery for decades. Due to the high costs associated with minor cosmetic procedures and plastic surgery, the unauthorized use of silicone injections by laypersons has become increasingly common. Improper or illegal subcutaneous injectable silicone has caused significant pulmonary complications and neurological complications, which can range from mild chest pain, hypoxia, and respiratory failure to coma and altered mental status.
We present a patient who had a rare complication of respiratory failure secondary to silicone embolism syndrome (SES). SES is a rare, potentially deadly complication and has been associated with subcutaneous silicone injections. The diagnosis of SES can be challenging and requires a thorough patient history indicating recent cosmetic procedures.
This case describes the first case of SES of a male patient who presented to a community emergency department complaining of dyspnea after an episode of self-administered injectable silicone into his penis and scrotum and who developed SES-induced respiratory failure.
几十年来，硅胶一直广泛应用于各类大小型整形和重建手术中。由于小型美容手术和整形手术费用高昂，非专业人员未经授权使用硅胶注射的情况日益普遍。不当或非法的皮下注射硅胶已引发严重的肺部并发症和神经并发症，症状从轻微胸痛、缺氧、呼吸衰竭到昏迷和精神状态改变不等。
我们报告一名患者，其因硅胶栓塞综合征（SES）继发呼吸衰竭，这是一种罕见的并发症。SES是一种罕见的、可能致命的并发症，与皮下注射硅胶有关。SES的诊断具有挑战性，需要详细的患者病史以表明近期有美容手术史。
本病例描述了首例男性SES患者，该患者因自行向阴茎和阴囊注射硅胶后出现呼吸困难，前往社区急诊科就诊，并发展为SES诱发的呼吸衰竭。
