Tuberc Respir Dis.  1999 Mar;46(3):414-419.

A Case of Acute Respiratory Distress Syndrome with Pulmonary Embolism induced by Injection of Silicone at Vaginal Wall

Affiliations
  • 1Department of Internal Medicine, Gachon Medical College Gil Medical Center, Inchon, Korea.

Abstract

Silicone fluid(polydimethylsiloxane) is widely used in breast augmentation and other cosmetic procedures because of little incidence of complications and low mortality rate. However, local reaction following silicone injections can be occurred sometimes leading to serious complications. Especially, illicit silicone injections have resulted in severe reactions within the pulmonary area, and some have resulted in acute respiratory distress syndrome subsequently. We experienced a case of acute respiratory distress syndrome induced by subcutaneous injections of silicone at vaginal wall. The patients was 39-year-old, previously healthy woman who had complained of dyspnea related to silicone injection at vaginal wall. Chest X-ray and chest CT scan show diffuse air consolidation with ground glass opacities and perfusion lung scan revealed likelihood of pulmonary embolism as showing multiple perfusion defects. We report a case of acute respiratory distress syndrome after silicone injection with review of literature.

Keyword

Acute respiratory distress syndrome; Silicone; pulmonary embolism

MeSH Terms

Adult
Breast
Dyspnea
Female
Glass
Humans
Incidence
Injections, Subcutaneous
Lung
Mortality
Perfusion
Pulmonary Embolism*
Respiratory Distress Syndrome, Adult*
Silicones*
Thorax
Tomography, X-Ray Computed
Silicones
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