title: Liver Trauma During Combined Liposuction and Abdominoplasty: A Rare but Potentially Lethal Complication.
abstract: Liposuction is a well-established procedure that is generally safe. However, rare complications can occur. The authors report on a 38-year-old woman who underwent combined abdominoplasty and liposuction at a private clinic. Four hours after the procedure, severe hypovolemic shock developed and required emergency transfer to a tertiary-care center. After primary fluid resuscitation, abdominal ultrasonography and computerized tomography revealed severe right-sided liver trauma, with active bleeding and free intra-abdominal fluid. Two attempts at right hepatic artery embolization failed to fully control the bleeding, and surgical hemostasis was required. After a 2-week hospitalization, the patient was discharged, and she returned to work 3 months later. Although it appears that this is the first reported case of liver trauma during liposuction, this potential complication should be kept in mind and identified early to permit efficient and effective management.
authors.affiliation: Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland. Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland.
authors.forename: Eleftherios
authors.initials: E
authors.lastname: Gialamas
authors.affiliation: Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland. Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland.
authors.forename: Graziano
authors.initials: G
authors.lastname: Oldani
authors.affiliation: Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland. Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland.
authors.forename: Ali
authors.initials: A
authors.lastname: Modarressi
authors.affiliation: Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland. Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland.
authors.forename: Philippe
authors.initials: P
authors.lastname: Morel
authors.affiliation: Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland. Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland.
authors.forename: Christian
authors.initials: C
authors.lastname: Toso
mesh_terms: D061645:Abdominoplasty / Q000009:adverse effects*; D000328:Adult; D004564:Electrocoagulation; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D015187:Lipectomy / Q000009:adverse effects*; D008099:Liver / Q000293:injuries*; D012769:Shock / Q000209:etiology