title: Fat embolism syndrome secondary to injection of large amounts of soft tissue filler in the gluteal area.
abstract: There are no reports in the literature of an association between soft tissue filler (STF) injection and fat embolism syndrome (FES). The authors present the case of a 26-year-old woman who was injected in the gluteal area with approximately 200 cc of STF on each side for aesthetic purposes. After this procedure, she presented with the triad of hypoxemia, neurological impairment, and petechiae consistent with the diagnosis of FES. After advanced support measures, she recovered completely. This article reviews the presence of FES after a cosmetic procedure with STF.
authors.affiliation: Division of Internal Medicine, Hospital Central Sur de Alta Especialidad (HCSAE) de PEMEX, Andador Analco #17, Colonia Isidro Fabela, Mexico City, Mexico. martincoro@yahoo.com
authors.forename: Martín
authors.initials: M
authors.lastname: Coronado-Malagón
authors.forename: Porfirio
authors.initials: P
authors.lastname: Visoso-Palacios
authors.forename: C Alejandro
authors.initials: CA
authors.lastname: Arce-Salinas
mesh_terms: D000328:Adult; D002081:Buttocks; D003357:Cosmetic Techniques / Q000009:adverse effects*; D004620:Embolism, Fat / Q000209:etiology*; D005260:Female; D005549:Foreign-Body Reaction / Q000209:etiology*; D006801:Humans