Intestinal perforation after suction lipoplasty: a case report and review of the literature

Ann Plast Surg. 1997 Feb;38(2):169-72. doi: 10.1097/00000637-199702000-00012.

Abstract

Intrabdominal penetration with intestinal perforation is a relatively uncommon complication after liposuction. Seven cases have been reported in the literature, with a mortality rate > 50%. Here we present a case of a perforated viscus after suction lipoplasty of the abdomen using the tumescent technique. Multiple small-bowel enterotomies were made with the suction cannula. It is our hope that a heightened awareness of this potentially life-threatening complication will promote early and aggressive diagnosis and treatment of liposuction patients who present with gastrointestinal complaints in the early postoperative period.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Abscess / etiology
  • Abdominal Abscess / pathology
  • Abdominal Abscess / surgery
  • Enterococcus faecalis
  • Female
  • Gram-Positive Bacterial Infections / etiology
  • Gram-Positive Bacterial Infections / pathology
  • Gram-Positive Bacterial Infections / surgery
  • Humans
  • Intestinal Perforation / etiology*
  • Intestinal Perforation / pathology
  • Intestinal Perforation / surgery
  • Intestine, Small / injuries*
  • Intestine, Small / pathology
  • Intestine, Small / surgery
  • Intraoperative Complications / etiology*
  • Intraoperative Complications / pathology
  • Intraoperative Complications / surgery
  • Klebsiella Infections / etiology
  • Klebsiella Infections / pathology
  • Klebsiella Infections / surgery
  • Klebsiella pneumoniae
  • Lipectomy / instrumentation*
  • Middle Aged
  • Peritonitis / etiology
  • Peritonitis / surgery
  • Postoperative Complications / etiology*
  • Postoperative Complications / pathology
  • Postoperative Complications / surgery
  • Reoperation
  • Subphrenic Abscess / etiology
  • Subphrenic Abscess / pathology
  • Subphrenic Abscess / surgery