Dermal filler for penile augmentation Masquerading as abscesses on ultrasound: A case report

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 present...

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Main Authors: Mary E. Velagapudi, Adrienne Malik, Bradley S. Jackson
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:JEM Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2773232025000240
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author Mary E. Velagapudi
Adrienne Malik
Bradley S. Jackson
author_facet Mary E. Velagapudi
Adrienne Malik
Bradley S. Jackson
author_sort Mary E. Velagapudi
collection DOAJ
description 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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series JEM Reports
spelling doaj-art-4c292badd7bc4fbd88691ffa9a82a41c2025-08-20T03:31:05ZengElsevierJEM Reports2773-23202025-06-014210016010.1016/j.jemrpt.2025.100160Dermal filler for penile augmentation Masquerading as abscesses on ultrasound: A case reportMary E. Velagapudi0Adrienne Malik1Bradley S. Jackson2Corresponding author.; Department of Emergency Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USADepartment of Emergency Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USADepartment of Emergency Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USAIntroduction: 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.http://www.sciencedirect.com/science/article/pii/S2773232025000240dermal fillerPMMAAbscessCellulitis
spellingShingle Mary E. Velagapudi
Adrienne Malik
Bradley S. Jackson
Dermal filler for penile augmentation Masquerading as abscesses on ultrasound: A case report
JEM Reports
dermal filler
PMMA
Abscess
Cellulitis
title Dermal filler for penile augmentation Masquerading as abscesses on ultrasound: A case report
title_full Dermal filler for penile augmentation Masquerading as abscesses on ultrasound: A case report
title_fullStr Dermal filler for penile augmentation Masquerading as abscesses on ultrasound: A case report
title_full_unstemmed Dermal filler for penile augmentation Masquerading as abscesses on ultrasound: A case report
title_short Dermal filler for penile augmentation Masquerading as abscesses on ultrasound: A case report
title_sort dermal filler for penile augmentation masquerading as abscesses on ultrasound a case report
topic dermal filler
PMMA
Abscess
Cellulitis
url http://www.sciencedirect.com/science/article/pii/S2773232025000240
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