Multiple bowel perforation and necrotising fasciitis secondary to abdominal liposuction in a patient with bilateral lumbar hernia

We present a rare complication of abdominal liposuction: bowel perforation and necrotizing fasciitis. Because of bilateral lumbar hernia, a 56-year-old woman had caecum and descending colon perforation during lipoplasty. She had septic shock syndrome at her admission. The authors treated this comple...

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Main Authors: Vincent Dellière, N. Bertheuil, Y. Harnois, S. Thiènot, M. Gèrard, M. Robert, E. Watier
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2014-09-01
Series:Indian Journal of Plastic Surgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146650
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author Vincent Dellière
N. Bertheuil
Y. Harnois
S. Thiènot
M. Gèrard
M. Robert
E. Watier
author_facet Vincent Dellière
N. Bertheuil
Y. Harnois
S. Thiènot
M. Gèrard
M. Robert
E. Watier
author_sort Vincent Dellière
collection DOAJ
description We present a rare complication of abdominal liposuction: bowel perforation and necrotizing fasciitis. Because of bilateral lumbar hernia, a 56-year-old woman had caecum and descending colon perforation during lipoplasty. She had septic shock syndrome at her admission. The authors treated this complex wound with several debridement, omental flap, NPWT and split-thickness skin graft. The incidence of abdominal wall perforation with visceral injury is 14 in 100,000 liposuctions performed. There are only 12 cases of bowel perforation in literature but this complication is probably underestimated. Prompt surgical debridement is absolutely mandatory in this life threatening scenario. Lumbar hernia is very rare and should be ruled out before every abdominal liposuction clinically or with imaging modalities.
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record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-b4df7e873cdc464abfaec12e05d7b9a52025-08-20T02:02:40ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2014-09-01470343644010.4103/0970-0358.146650Multiple bowel perforation and necrotising fasciitis secondary to abdominal liposuction in a patient with bilateral lumbar herniaVincent Dellière0N. Bertheuil1Y. Harnois2S. Thiènot3M. Gèrard4M. Robert5E. Watier6Department of Plastic, Reconstructive and Aesthetic Surgery, Rennes, FranceDepartment of Plastic, Reconstructive and Aesthetic Surgery, Rennes, FranceDepartment of General Surgery, Rennes University Hospital, Rennes, FranceDepartment of Plastic, Reconstructive and Aesthetic Surgery, Rennes, FranceDepartment of Plastic, Reconstructive and Aesthetic Surgery, Rennes, FranceDepartment of Plastic, Reconstructive and Aesthetic Surgery, Rennes, FranceDepartment of Plastic, Reconstructive and Aesthetic Surgery, Rennes, FranceWe present a rare complication of abdominal liposuction: bowel perforation and necrotizing fasciitis. Because of bilateral lumbar hernia, a 56-year-old woman had caecum and descending colon perforation during lipoplasty. She had septic shock syndrome at her admission. The authors treated this complex wound with several debridement, omental flap, NPWT and split-thickness skin graft. The incidence of abdominal wall perforation with visceral injury is 14 in 100,000 liposuctions performed. There are only 12 cases of bowel perforation in literature but this complication is probably underestimated. Prompt surgical debridement is absolutely mandatory in this life threatening scenario. Lumbar hernia is very rare and should be ruled out before every abdominal liposuction clinically or with imaging modalities.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146650bowel perforationliposuctionlumbar hernianecrotizing fasciitisnegative pressure large wound therapy
spellingShingle Vincent Dellière
N. Bertheuil
Y. Harnois
S. Thiènot
M. Gèrard
M. Robert
E. Watier
Multiple bowel perforation and necrotising fasciitis secondary to abdominal liposuction in a patient with bilateral lumbar hernia
Indian Journal of Plastic Surgery
bowel perforation
liposuction
lumbar hernia
necrotizing fasciitis
negative pressure large wound therapy
title Multiple bowel perforation and necrotising fasciitis secondary to abdominal liposuction in a patient with bilateral lumbar hernia
title_full Multiple bowel perforation and necrotising fasciitis secondary to abdominal liposuction in a patient with bilateral lumbar hernia
title_fullStr Multiple bowel perforation and necrotising fasciitis secondary to abdominal liposuction in a patient with bilateral lumbar hernia
title_full_unstemmed Multiple bowel perforation and necrotising fasciitis secondary to abdominal liposuction in a patient with bilateral lumbar hernia
title_short Multiple bowel perforation and necrotising fasciitis secondary to abdominal liposuction in a patient with bilateral lumbar hernia
title_sort multiple bowel perforation and necrotising fasciitis secondary to abdominal liposuction in a patient with bilateral lumbar hernia
topic bowel perforation
liposuction
lumbar hernia
necrotizing fasciitis
negative pressure large wound therapy
url http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146650
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