title: A fatal case of systemic fat embolism resulting from gluteal injections of vitamin e for cosmetic enhancement.
abstract: Recently in Mexico the number of cosmetic surgeries has increased. These procedures are often carried out by unqualified people using obsolete and contraindicated products such as injectable oil, which cause uncorrectable disfigurement or more serious complications, even death, after reaching the systemic circulation. We report the case of a fat embolism syndrome (FES) caused by injections of vitamin E (tocopherol) in order to increase the volume of the buttocks. This case of a FES caused by injections of vitamin E was confirmed by gas chromatography coupled to mass spectrometry.
authors.affiliation: Departamento de Patología, Instituto de Ciencias Forenses, Av. Niños Héroes 130 Col. Doctores C.P. 06720 México D.F. México.
authors.forename: R C
authors.initials: RC
authors.lastname: Mendoza-Morales
authors.affiliation: Departamento de Patología, Instituto de Ciencias Forenses, Av. Niños Héroes 130 Col. Doctores C.P. 06720 México D.F. México.
authors.forename: E V
authors.initials: EV
authors.lastname: Camberos-Nava
authors.affiliation: Academia Internacional de Formación en Ciencias Forenses, Av. Dr. Río de la Loza #170, Col. Doctores. C.P. 06720, México D.F. México.
authors.forename: A
authors.initials: A
authors.lastname: Luna-Rosas
authors.affiliation: Departamento de Fisiología, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Unidad Profesional Adolfo López Mateos (Zacatenco), Wilfrido Massieu S/N y Cda. Manuel Stampa C.P. 07700, México D.F., México.
authors.forename: L
authors.initials: L
authors.lastname: Garcés-Ramírez
authors.affiliation: Departamento de Fisiología, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Unidad Profesional Adolfo López Mateos (Zacatenco), Wilfrido Massieu S/N y Cda. Manuel Stampa C.P. 07700, México D.F., México.
authors.forename: F
authors.initials: F
authors.lastname: De la Cruz
authors.affiliation: Departamento de Patología, Instituto de Ciencias Forenses, Av. Niños Héroes 130 Col. Doctores C.P. 06720 México D.F. México. Electronic address: garciaddf@yahoo.com.
authors.forename: F
authors.initials: F
authors.lastname: García-Dolores
mesh_terms: D000328:Adult; D002081:Buttocks; D003358:Cosmetics; D004620:Embolism, Fat / Q000139:chemically induced*; D017809:Fatal Outcome; D005260:Female; D008401:Gas Chromatography-Mass Spectrometry; D006801:Humans; D007267:Injections; D008800:Mexico; D013577:Syndrome; D014810:Vitamin E / Q000506:poisoning*; D014815:Vitamins / Q000506:poisoning; D055815:Young Adult
chemical_list: D003358:Cosmetics; D014815:Vitamins; D014810:Vitamin E
keywords: Autopsy; Fat embolism syndrome; Pulmonary edema; Pulmonary embolism; Pulmonary infarction; Tocopherol; Vitamin E injections