TY - JOUR
T1 - Silicone pulmonary embolism
T2 - Report of 10 cases and review of the literature
AU - Restrepo, Carlos Santiago
AU - Artunduaga, Maddy
AU - Carrillo, Jorge A.
AU - Rivera, Aura L.
AU - Ojeda, Paulina
AU - Martinez-Jimenez, Santiago
AU - Manzano, Ana C.
AU - Rossi, Santiago E.
PY - 2009
Y1 - 2009
N2 - OBJECTIVE: To assess patient outcome and imaging findings of patients with pulmonary embolism of fluid silicone. METHODS: Medical records and imaging examinations of 10 patients with respiratory distress after illicit injection of fluid silicone were reviewed. Population consisted of 8 male (6 male-to-female transsexuals) and 2 female subjects. RESULTS: Average age was 29 years. Most common injection sites were gluteal and trochanteric. Respiratory symptoms developed between 15 minutes and 2 days after silicone injection. Five referred fever, 6 developed adult respiratory distress syndrome, and 2 subsequently died. Alveolar hemorrhage was demonstrated on pathological examination in 6, with silicone vacuoles in the lung parenchyma in 3. Computed tomography demonstrated peripheral ground glass opacities with interlobular septal thickening in all and peripheral airspace disease in 7. CONCLUSIONS: Illicit injection of large volumes of fluid silicone for cosmetic purposes is associated with pulmonary embolism and acute alveolar hemorrhage and is associated with a significant mortality.
AB - OBJECTIVE: To assess patient outcome and imaging findings of patients with pulmonary embolism of fluid silicone. METHODS: Medical records and imaging examinations of 10 patients with respiratory distress after illicit injection of fluid silicone were reviewed. Population consisted of 8 male (6 male-to-female transsexuals) and 2 female subjects. RESULTS: Average age was 29 years. Most common injection sites were gluteal and trochanteric. Respiratory symptoms developed between 15 minutes and 2 days after silicone injection. Five referred fever, 6 developed adult respiratory distress syndrome, and 2 subsequently died. Alveolar hemorrhage was demonstrated on pathological examination in 6, with silicone vacuoles in the lung parenchyma in 3. Computed tomography demonstrated peripheral ground glass opacities with interlobular septal thickening in all and peripheral airspace disease in 7. CONCLUSIONS: Illicit injection of large volumes of fluid silicone for cosmetic purposes is associated with pulmonary embolism and acute alveolar hemorrhage and is associated with a significant mortality.
KW - Fluid silicone injection
KW - Nonthrombotic pulmonary embolism
KW - Silicone embolism
UR - http://www.scopus.com/inward/record.url?scp=64749085745&partnerID=8YFLogxK
U2 - 10.1097/RCT.0b013e31817ecb4e
DO - 10.1097/RCT.0b013e31817ecb4e
M3 - Artículo
C2 - 19346851
AN - SCOPUS:64749085745
SN - 0363-8715
VL - 33
SP - 233
EP - 237
JO - Journal of Computer Assisted Tomography
JF - Journal of Computer Assisted Tomography
IS - 2
ER -