Jorge Sotelo-Carbajal, Rodrigo Mata, Quitzia Libertad Torres-Salazar
Perforation of one or more intraperitoneal organs during a liposuction procedure is an unusual and underestimated complication. Awareness of this complication is essential due to the frequent delay in diagnosis and potentially fatal consequences.We analyze the case of a 49-year-old woman who presented to the emergency room with septic shock of abdominal wall and necrotizing fasciitis developed after cosmetic surgery. The patient was admitted with a Glasgow score of 15 and generalized pallor, and was treated in the operating room for revision and cavity cleansing. Abundant intestinal contents were found in the subcutaneous cellular tissue, necrosis and liquefaction of Treitz tissue up to 20 cm of the ileocecal valve, peripancreatic edema and multiple wheals in the omentum. On the 42nd day of hospital stay, it was decided to perform fistula management by the Rivera condom technique and graft placement. Among the pathogens identified in culture, the most important are E. Coli, A. Baumanni multidrogoresitente, Candida famata, which are managed favorably. The patient was discharged on the 77th day of her hospital stay.Visceral injury, although extremely infrequent, is a real possibility following liposuction. Post-surgical follow-up should be cautious, with surveillance of abdominal or thoracic symptomatology. Its dramatic appearance and the frequent delay in diagnosis make it essential to be aware of this complication.