A rare outcome of liposuction complicated by the development of peritonitis following perforation of the small intestine: a case report

Authors

  • Jungwoo Park Department of Surgery, UChicago Medicine AdventHealth Hospital, Hinsdale, Illinois, USA
  • Maymona E. Nageye Department of Surgery, UChicago Medicine AdventHealth Hospital, Hinsdale, Illinois, USA
  • Mohammed M. Arain Department of Surgery, UChicago Medicine AdventHealth Hospital, Hinsdale, Illinois, USA

DOI:

https://doi.org/10.18203/2349-2902.isj20231974

Keywords:

Liposuction, Complications of liposuction, Bowel perforation, Peritonitis

Abstract

There are a growing number of demands for liposuction each year and it is one of the most performed procedures in plastic surgery for aesthetic purposes. Bowel perforation and peritonitis are rare, but life-threatening complications following liposuction. However, there is a lack of awareness of these ill-fated outcomes which are underestimated and under-reported in the literature. We present the case of a 63-year-old male admitted to emergency department (ED) with the symptoms of abdominal pain and distension with anorexia and nausea. The patient stated that he had not been feeling well since the liposuction procedure which he received 6 days prior. During the physical examination, there was mild abdominal distension with tenderness and some guarding in all 4 quadrants. A computed tomography (CT) scan showed pneumoperitoneum. The patient underwent an exploratory laparotomy where multiple small bowel perforations were repaired and a part of the small bowel was resected. The patient eventually recovered well and was discharged on post-op day 12. Bowel perforation which can lead to peritonitis following liposuction is rare, but the risk increases in patients with a previous history of abdominal surgery such as hernia repair, as in this patient. Increased awareness of possible life-threatening complications and close follow-up in patients with risk factors are essential to prevent undesirable outcomes and promptly treat the patient.

 

References

Mendez BM, Coleman JE, Kenkel JM. Optimizing Patient Outcomes and Safety With Liposuction. Aesth Surg J. 2019;39(1):66-82.

Stephan PJ, Kenkel JM. Updates and Advances in Liposuction. Aesth Surg J. 2009;30(1):83-97.

Matarasso A. The anatomic data sheet in plastic surgery: graphic and accurate documentation for standardized evaluation of results. Plast Reconstr Surg. 1993;91:734-8.

Dixit VV, Wagh MS. Unfavourable outcomes of liposuction and their management. Indian J Plast Surg. 2013;46(2):377-92.

Grazer FM, de Jong RH. Fatal outcomes from liposuction: Census survey of cosmetic surgeons. Plast Reconstr Surg. 2000;105:436-46.

Toledo LS, Mauad R. Complications of body sculpture: Prevention and treatment. Clinics in Plastic Surgery. 2006;33:1-11.

Taha AA, Tahseen H. Spreading Awareness: Bowel Perforation with Liposuction. Plast Reconstr Surg Glob Open. 2020;8(3):e2715.

Cárdenas-Camarena L, Andrés Gerardo LP, Durán H, Bayter-Marin JE. Strategies for Reducing Fatal Complications in Liposuction. Plast Reconstr Surg Glob Open. 2017;5(10):e1539.

Barillo DJ, Cancio LC, Kim SH, Shirani KZ, Goodwin CW. Fatal and near-fatal complications of liposuction. South Med J. 1998;91(5):487-92.

Gardener C, Pandis L, Grigatti M, Vindigni V, Bassetto F, Brambullo T. Bowel perforation after liposuction in abdominal contouring surgery: Case report. Int J Surg Case Rep. 2020;72:5-9.

Cárdenas-Camarena L, Gerardo LPA, Durán H, Bayter-Marin JE. Strategies for reducing fatal complications in liposuction. Plast Reconstr Surg Glob Open. 2017;5(10):e1539.

Khalaf MH, Sameer M, Khan MB, Ahmed A. Abdominal Visceral Injury, a Devastating Consequence of Abdominal Liposuction: A Case Report and Literature Review. Cureus. 2023;15(1):e34378.

Kaoutzanis C, Gupta V, Winocour J, Layliev J, Ramirez R, Grotting JC, et al. Cosmetic liposuction: preoperative risk factors, major complication rates, and safety of combined procedures. Aesthet Surg J. 2017;37:680-94.

Yoho RA, Romaine JJ, O'Neil D. Review of the liposuction, abdominoplasty, and face-lift mortality and morbidity risk literature. Dermatol Surg. 2005;31:733-43.

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Published

2023-06-28

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Section

Case Reports