Fatal Fat Embolism After Penis Enlargement by Autologous Fat Transfer: A Case Report and Review of the Literature

@article{Zilg2017FatalFE,
  title={Fatal Fat Embolism After Penis Enlargement by Autologous Fat Transfer: A Case Report and Review of the Literature},
  author={Brita Zilg and Petra R{\aa}sten-Almqvist},
  journal={Journal of Forensic Sciences},
  year={2017},
  volume={62}
}
Fat embolism is an incidental finding in cases of long bone fractures or other trauma, but it is also associated with liposuction and autologous fat transfer, a procedure where fat from liposuction is injected back into the same patient's face, breast, buttocks or penis. We here present a case of sudden death by fat embolism in a healthy young male, caused by a simple penis enlargement procedure, in which fat was injected into the penis shaft. We suggest that the risk of fat embolization might… Expand
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References

SHOWING 1-10 OF 15 REFERENCES
Acute fatal fat tissue embolism after autologous fat transfer in a patient with lupus profundus.
Autologous fat injection has been used to correct volume loss secondary to idiopathic lipoatrophy and inflammatory processes such as acne vulgaris, as well as in the rejuvenation of the aging face.Expand
Fat Transfer and Fatal Macroembolization
TLDR
Simple pre‐operative questioning for sciatica symptoms and possible radiologic study to rule out sciatic varices seem prudent before undertaking buttock‐enhancing surgery, as a potential conduit for macroscopic fat to reach the lungs. Expand
Autologous Fat Injection for Soft Tissue Augmentation in the Face: A Safe Procedure?
TLDR
It is suggested that fragments of fatty tissue reach ocular and cerebral arteries by reversed flow through branches of the carotid arteries after they are introduced into facial vessels and should be avoided into pretraumatized soft tissue, for example, after rhytidectomy. Expand
Fat Embolism Syndromes Following Liposuction
TLDR
There is no specific therapy for FES after liposuction for the moment, so prevention, early diagnosis, and supportive therapies are important, and current methods to prevent FES are discussed. Expand
Autologous Fat Graft by Needle: Analysis of Complications After 1000 Patients
TLDR
The relatively low complication rates in the recipient site suggest that fat transplantation, especially considering the recipient, is characterized by a high safety level and the device is simple to use. Expand
Massive Cerebral Infarction Following Facial Fat Injection
TLDR
Routine cosmetic procedures of facial fat injections could cause devastating and even fatal complications to patients, and these procedures should be avoided. Expand
Efficacy and Safety of Penile Girth Enhancement by Autologous Fat Injection for Patients with Thin Penises
TLDR
The use of AFI for PGE in men with thin penises was effective and safe without major complications, and the only complication was nodular fat observed in one case. Expand
Acute fatal stroke immediately following autologous fat injection into the face
TLDR
A 39-year-old woman underwent autologous fat injection into the glabella to correct frown lines and one minute after fat injection, the patient developed mental change, aphasia, and right hemiplegia. Expand
Deaths Caused by Gluteal Lipoinjection: What Are We Doing Wrong?
TLDR
In this study, the authors found that intramuscular gluteal lipoinjection is associated with mortality caused bygluteal blood vessel damage allowing macroscopic and microscopic fat embolism; therefore, buttocks lipoin injection should be performed very carefully, avoiding injections into deep muscle planes. Expand
Adipose tissue and lipid droplet embolism following periurethral injection of autologous fat: Case report and review of the literature
The authors present a case of a death associated with pulmonary adipose tissue and lipid droplet embolism following autologous fat harvesting, periurethral injection and videocystourethroscopy forExpand
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