Foula Ahmed S, Ahmed Manal A, Foula Mohammed S, Nassar Mohamed W
Anesthesia, El Amrya General Hospital, Alexandria, EGY.
Anesthesia, Alexandria University Hospitals, Alexandria, EGY.
Cureus. 2022 Jun 16;14(6):e25985. doi: 10.7759/cureus.25985. eCollection 2022 Jun.
Liposuction is a popular cosmetic procedure. Recently, there has been an increase in the reported complications. Fat embolism syndrome (FES) is a rare life-threatening condition with challenging diagnosis. A young lady was admitted for liposuction and lipofilling procedure. After 180 minutes, cardiac arrest happened. She was revived after cardiopulmonary resuscitation. She was tachypneic, hypoxic, and feverish. Her chest x-rays were suggestive of acute respiratory distress syndrome. After exclusion of other differential diagnoses, she was diagnosed as post-arrest state on top of FES. Fortunately, she showed a gradual improvement, starting from the fourth day and was discharged to a regular ward on the sixth day. Sudden cardiac arrest during liposuction is a dreadful complication that may occur in healthy persons due to FES. Its diagnosis depends on high index of clinical suspicion and use of special criteria and scoring systems. The management depends on conservative measures with/without steroids administration.
抽脂术是一种常见的美容手术。最近，报告的并发症有所增加。脂肪栓塞综合征（FES）是一种罕见的危及生命的疾病，诊断具有挑战性。一名年轻女性因抽脂和脂肪填充手术入院。180分钟后，发生心脏骤停。经过心肺复苏后她苏醒过来。她呼吸急促、缺氧且发烧。她的胸部X光片提示急性呼吸窘迫综合征。排除其他鉴别诊断后，她被诊断为FES基础上的心脏骤停后状态。幸运的是，她从第四天开始逐渐好转，并在第六天转到普通病房出院。抽脂过程中突然心脏骤停是一种可怕的并发症，健康人可能因FES而发生。其诊断取决于高度的临床怀疑指数以及特殊标准和评分系统的使用。治疗取决于采取保守措施，可使用或不使用类固醇。
