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

Kang, Moon Bo; Kim, Seong Tae; Lee, Jung Gu; Seo, Chan Jong; Lee, Hwa Eun; Jeong, Jung Bae; Kim, Sung Gwon; Kim, Chul; Park, Jeong Woong; Chung, Sung Hyan; Nam, Gui Hyun

doi:1999.46.3.414

Tuberc Respir Dis > Volume 46(3); 1999 > Article

Case Report

Tuberculosis and Respiratory Diseases 1999;46(3):414-419.
DOI: https://doi.org/10.4046/trd.1999.46.3.414 Published online March 1, 1999.

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

Moon Bo Kang, Seong Tae Kim, Jung Gu Lee, Chan Jong Seo, Hwa Eun Lee, Jung Bae Jeong, Sung Gwon Kim, Chul Kim, Jeong Woong Park, Sung Hyan Chung, Gui Hyun Nam

Department 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.

Key Words: Acute respiratory distress syndrome, Silicone, pulmonary embolism