脂点注射后继发于脂肪栓塞的急性肢体缺血

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2025-08-18 DOI:10.1016/j.bjps.2025.08.012

Diego Posada-Ríos , Bárbara Dieck-Gutiérrez , Eugenia López-Salazar , Wilber Édison Peña-Niño , Juan Carlos Gómez-Rodríguez , Vanesa Vásquez-Sañudo , Laura Botero-Ángel

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引用次数: 0

摘要

外周动脉脂肪栓塞是一种非常罕见的自体脂肪移植并发症。我们报告了一名49岁的女性，在联合吸脂和臀股注脂后90分钟发生了左下肢Rutherford级IIB级缺血。紧急血栓栓塞切除术12小时后取出成熟的脂肪碎片，但坏疽进展强制经股截肢。该病例强调了严格的注射技术，术中超声指导和及时血管转诊的必要性，当急性肢体疼痛后脂点注射。

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Acute limb ischaemia secondary to fat embolism following lipoinjection

Peripheral arterial fat embolism is an exceptionally rare complication of autologous fat grafting. We report a 49-year-old woman who developed Rutherford grade IIB ischaemia of the left lower limb 90 min after combined liposuction and gluteo-femoral lipoinjection. Urgent thromboembolectomy 12 h later retrieved mature adipose fragments, yet progressive gangrene mandated transfemoral amputation. The case underscores the need for strict injection technique, intra-operative ultrasound guidance and prompt vascular referral when acute limb pain follows lipoinjection.

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.