Fayi Khalid A, Ali Hassan A, Ali Nashwa M
Plastic and Reconstructive Surgery Section, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Department of Plastic and Reconstructive Surgery, King Abdulaziz Medical City, Riyadh, SAU.
Cureus. 2023 Jun 13;15(6):e40384. doi: 10.7759/cureus.40384. eCollection 2023 Jun.
For many years, people with excess weight around specific body parts who wanted to improve their shape or establish symmetry to achieve their ideal body image chose liposuction. As with any intervention, there is a chance of complications and unfavorable outcomes with liposuction. As a late result of the procedure, skin necrosis, infection, and hematoma are some of the known complications of such a procedure. Other known complications include damage to surrounding structures like nerves, vasculature, or perforating body viscera. This study aimed to report an eventful and unwanted result of a common and relatively safe cosmetic procedure. A 31-year-old Saudi female presented to the emergency room (ER) with right unilateral vision loss, bruises, and burning pain involving the upper limbs, thighs, abdomen, back, and flanks after having liposuction and rhinoplasty two weeks ago in a private clinic overseas. Multiple investigations were obtained to investigate her blindness, which showed a right upper branch of retinal vein occlusion. She was treated conservatively with daily wound dressings and analgesics. After five days, the patient returned with infected wounds and clinical deterioration, necessitating multiple excisions, debridement, and grafting. She eventually recovered and was discharged in good health. Herein, we report a rare case of unilateral blindness and multiple skin necrosis following liposuction of the abdomen and thigh. Debridement and skin grafting were the ideal treatment strategies.
多年来，那些特定身体部位超重、想要改善体型或建立对称性以实现理想身体形象的人会选择抽脂手术。与任何手术一样，抽脂手术也有出现并发症和不良后果的风险。作为该手术的后期结果，皮肤坏死、感染和血肿是此类手术已知的一些并发症。其他已知并发症包括对周围结构如神经、血管或穿透性内脏的损伤。本研究旨在报告一项常见且相对安全的美容手术出现的意外不良结果。一名31岁的沙特女性两周前在海外一家私人诊所进行抽脂和隆鼻手术后，因右侧单眼视力丧失、出现瘀伤以及上肢、大腿、腹部、背部和侧腹有灼痛而前往急诊室就诊。进行了多项检查以调查其失明原因，结果显示为视网膜静脉阻塞的右上分支。对她进行了保守治疗，包括每日伤口换药和使用镇痛药。五天后，患者因伤口感染和病情恶化再次前来就诊，需要进行多次切除、清创和植皮手术。她最终康复并健康出院。在此，我们报告一例腹部和大腿抽脂后罕见的单侧失明和多处皮肤坏死病例。清创和皮肤移植是理想的治疗策略。
