Abstract：
BACKGROUND: Hemorrhage is an uncommon complication of liposuction that may be trauma-induced by the cannula on the subcutaneous perforators. It usually resolves spontaneously with external compression and results in mild to moderate ecchymosis on the liposuction site. However, in sporadic cases, active bleeding may persist and require urgent intervention for hemostasis.
METHODS: We report the case of a 60-year-old White female who developed a massive hematoma in the hour following liposuction of the right internal thigh, with active bleeding in the subcutaneous plane reported on contrast-enhanced computed tomography. The initial angiogram was conducted in the right common femoral artery and showed active bleeding from a profunda artery perforator. After careful selective catheterization of the feeding artery using a 2.0-French microcatheter, 0.3 mL of Onyx 34 was injected. Control angiography showed no immediate complication and confirmed the exclusion of the pseudoaneurysm. No postoperative event occurred. Blood pressure and hemoglobin levels remained stable throughout the episode.
CONCLUSIONS: Although liposuction is a very common procedure in plastic surgery, hemorrhagic complications may occur and require urgent hemostasis. This case suggests a vital place for interventional radiology in the management of hemorrhagic complications after liposuction.
METHODS: We report the case of a 60-year-old White female who developed a massive hematoma in the hour following liposuction of the right internal thigh, with active bleeding in the subcutaneous plane reported on contrast-enhanced computed tomography. The initial angiogram was conducted in the right common femoral artery and showed active bleeding from a profunda artery perforator. After careful selective catheterization of the feeding artery using a 2.0-French microcatheter, 0.3 mL of Onyx 34 was injected. Control angiography showed no immediate complication and confirmed the exclusion of the pseudoaneurysm. No postoperative event occurred. Blood pressure and hemoglobin levels remained stable throughout the episode.
CONCLUSIONS: Although liposuction is a very common procedure in plastic surgery, hemorrhagic complications may occur and require urgent hemostasis. This case suggests a vital place for interventional radiology in the management of hemorrhagic complications after liposuction.
摘要：
背景：出血是吸脂术的一种罕见并发症，可能是皮下穿孔器上的套管引起的创伤。它通常通过外部压迫自发解决，并在吸脂部位导致轻度至中度瘀斑。然而,在零星的情况下，活动性出血可能持续存在,需要紧急干预止血.
方法：我们报告了一名60岁的白人女性，她在右大腿内抽脂后一小时内出现大量血肿，对比增强计算机断层扫描报告皮下平面活动性出血。最初的血管造影是在右股总动脉中进行的，并显示了深动脉穿支的活动性出血。在使用2.0-French微导管对喂养动脉进行仔细的选择性导管插入后，注射0.3mL的Onyx34。对照血管造影未显示立即并发症，并证实排除了假性动脉瘤。无术后事件发生。在整个发作期间，血压和血红蛋白水平保持稳定。
结论：尽管吸脂术是整形外科中非常常见的手术，可能发生出血性并发症，需要紧急止血。这种情况表明介入放射学在吸脂术后出血并发症的管理中至关重要。
方法：我们报告了一名60岁的白人女性，她在右大腿内抽脂后一小时内出现大量血肿，对比增强计算机断层扫描报告皮下平面活动性出血。最初的血管造影是在右股总动脉中进行的，并显示了深动脉穿支的活动性出血。在使用2.0-French微导管对喂养动脉进行仔细的选择性导管插入后，注射0.3mL的Onyx34。对照血管造影未显示立即并发症，并证实排除了假性动脉瘤。无术后事件发生。在整个发作期间，血压和血红蛋白水平保持稳定。
结论：尽管吸脂术是整形外科中非常常见的手术，可能发生出血性并发症，需要紧急止血。这种情况表明介入放射学在吸脂术后出血并发症的管理中至关重要。
