Necrotizing Fasciitis Associate with Small Bowel Perforation During Liposuction and Brazilian Butt Lift

Authors:
micharl cooper

Body of Abstract:
57 year old female presented to the emergency department by ambulance in septic shock 48. hours after undergoing liposuction and a Brazilian Butt Lift in a doctor’s office. Physical examination was consistent with an acute abdomen. A CT Scan of the abdomen showed a pneumoperitonium and free air under the diaphragm. The patient was resuscitated and taken emergently to the operating room. Exploratory laparotomy was performed, and 3 perforations were noted in the jejunum. Necrotic jejunum was resected and the viable ends were stapled separately. Necrotic subcutaneous tissue and fascia were debrided. Negative pressure wound therapy was place over the bowel, an the skin was closed. The patient was taken back to the operating room the following day, and necrotic abdominal wall was excision ally derided. Wound and blood cultures grew Psedommonas aeruginosa an Candida. The jejunum was reanastomosed, mesh was placed over the bowel, a tracheostomy was performed, and the patient was transferred to a burn unit for further wound care. Further debridements of the chest and abdominal wall were performed, and split thickness autografts were harvested and placed for coverage. The was discharged to rehablitation medicine.