Massive Systemic Silicone Embolism: A Case
Report and Review of Literature.
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American Journal of Forensic Medicine & Pathology. 27(2):97-102, June
2006.
Price, Eroston A. MD; Schueler, Harold PhD; Perper, Joshua A. MD
Abstract:
Subcutaneous injections of inert or quasi-inert plastic material designed to
smooth out wrinkled skin or to create a more esthetically sought appearance
have become very popular with the American public in general, and, in
particular, with certain groups highly focused on their physical image. The
case of the injection procedure has attracted into the field of plastic
medicine a substantial number of illegal, incompetent, and unscrupulous
operators. Their ignorance of involved medical risks and procedures not
uncommonly results in severe complications, disfigurement, and death of
patients. We report the typical pathological and chemical findings of a
systemic fatal silicone embolism in a 53-year-old heterosexual woman
following illegal chronic injections of silicone in her hips and buttocks.
The injected subcutaneous silicone apparently migrated rapidly from the
interstitial subcutaneous tissue into the general blood stream resulting in
a fatal systemic silicone embolism. An analysis of the presented case in
conjunction with a review of the pertinent medical literature, including a
recent article, revealed a marked similarity in the clinicopathologic
findings between silicone embolism and fat embolism.
(C) 2006 Lippincott Williams & Wilkins, Inc.
http://www.amjforensicmedicine.com/pt/re/ajfmp/abstract.00000433-200606000-00001.htm;jsessionid=GKRNgxnhfmvd1JG201dHHNZ2nwmQLYYh3Mwh0bMsv3RH24JdLhJy!-251499885!-949856144!8091!-1
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