Abstract
Introduction Liposuction is one of the common cosmetic surgery procedures performed. Although
rare, the complications associated with it are necrotizing soft tissue infection and
bowel perforation. We would like to share our experience of such a complication that
was managed successfully.
Case Report We were referred a 65-year-old male patient with signs and symptoms of intestinal
obstruction who had undergone liposuction of abdomen 1 week before and now had discoloration
of the abdominal skin. The discoloration was present from just below the costal margin
and was extending up to bilateral inguinal regions. Laterally the discoloration extended
up to the mid axillary line on both sides. Imaging studies showed dilated small bowel.
During laparotomy, he underwent debridement of all discolored skin and repair of the
single jejunal perforation. Postoperatively patient was first managed on intravenous
fluids, nasogastric aspiration and total parenteral nutrition for 10 days. The wound
was managed with silver dressings that led to healthy granulations. The patient was
at high risk for anesthesia for skin grafting; hence, he was managed with allograft
for 10 days. The patient then underwent skin grafting once he was fit. The graft took
up well and he resumed regular activities.
Conclusion This is unique as the patient had extensive necrotizing soft tissue infection of
the abdominal skin after liposuction along with intestinal perforation and obstruction
that was managed successfully due to aggressive surgical intervention, allograft,
and good supportive care both in the intensive care unit and in ward.
Keywords
liposuction - necrotising soft issue infection - perforation
