Embolismo por silicona. Reporte de casos y revisión de la literatura
Embolismo por silicona. Reporte de casos y revisión de la literatura
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Introduction: In Colombia, as in other countries around the world, the current physical beauty concept has increased the number of plastic surgeries. However, not everyone has access to these procedures. For those who are less favored culturally and economically, the increasing altemative of an illegal subcutaneous silicone injection, performed by untrained and unscrupulous personnel, with the purpose of changing physically, endangers the patients’ life. In this study, 2 cases of pulmonary embolism caused by silicone, which developed respiratory failure and received vital support in Santa Clara Hospital's ICU in Bogotá, are reviewed. They had a favorable evolution and adequate survival contrary to other reports found in the worldwide literature.
Objective: To describe the clinical characteristics and follow-up of the two patients with pulmonary embolism caused by silicone.
Design: Case report
Materials and methods: The clinical records of the two patients who were hospitalized in the ICU of Santa Clara Hospital in Bogota were reviewed and described. Afterwards, the existing literature on “Silicone and Respiratory failure” was reviewed in PubMed, OVID and HIGHWIRE databases.
Conclusions: The illegal application of silicone injections is related to embolism caused by this substance, pulmonary and extra-pulmonary vascular and immunological mechanics impairment and high risk of death.
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