Saad Ahmed, Iyengar Karthikeyan P, Davies A Mark, Botchu Rajesh
Department of Orthopedics, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, United Kingdom.
Deprtment of Orthopedics, Southport and Ormskirk Hospital NHS Trust, Southport, United Kingdom.
Indian J Radiol Imaging. 2023 Jan 13;33(2):253-256. doi: 10.1055/s-0042-1760364. eCollection 2023 Apr.
Hyaluronic acid (HA) is a widely accepted agent most commonly used as a dermal filler in facial aesthetic/cosmetic medicine. More recently, HA has been utilized for gluteal augmentation. The common side effects of HA injection are often minor and self-limiting. HA migration is a very rare complication. We describe a rare case of HA buttock injection migration in a transgender patient, appearing as a superficial lump on right thigh representing a diagnostic dilemma. We highlight the need of a clinical suspicion and discuss the appropriate investigations for guided management of such patients. It is essential for reporting radiologist to be aware of the commonly used injectable fillers, their complications, and imaging findings to avoid misdiagnosis and guide optimal patient management.
透明质酸（HA）是一种被广泛认可的药物，在面部美容/整形医学中最常被用作真皮填充剂。最近，HA已被用于丰臀。HA注射的常见副作用通常较轻且具有自限性。HA迁移是一种非常罕见的并发症。 我们描述了一例罕见的跨性别患者HA臀部注射后迁移的病例，表现为右大腿上的一个浅表肿块，这构成了诊断难题。我们强调临床怀疑的必要性，并讨论对此类患者进行指导管理的适当检查。 报告放射科医生必须了解常用的可注射填充剂、它们的并发症以及影像学表现，以避免误诊并指导对患者的最佳管理。
