Mary E. Velagapudi, Adrienne Malik, Bradley S. Jackson
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Abstract
Introduction
Dermal fillers have gained popularity over the years for cosmetic procedures including penile augmentation. With the increasing use of cosmetic enhancement dermal fillers, it is important to understand how they appear when imaged with ultrasound.
Case report
A 32-year-old male presented for penile pain, swelling, and erythema with a fever and leukocytosis after receiving a polymethyl-methacrylate (PMMA) filler 10 days prior in Mexico. Soft tissue point of care ultrasound was concerning for cellulitis versus abscess.
Why should an emergency physician be aware of this?
Penile dermal fillers can present with post-procedure complications including infections such as cellulitis or abscess. However, we found that particulate debris and coarse-grain heterogenous echogenicity of PMMA fillers are an abscess mimic.
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