Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Acute Respiratory Distress Syndrome with Pulmonary Embolism Induced by Injection of Silicone at Vaginal Wall

질벽의 실리콘 액 주사에 의한 폐색전종 및 급성 호흡곤란 증후군 1예

  • Kang, Moon-Bo (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Kim, Seong-Tae (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Lee, Jung-Gu (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Seo, Chan-Jong (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Lee, Hwa-Eun (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Jeong, Jung-Bae (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Kim, Sung-Gwon (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Kim, Chul (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Park, Jeong-Woong (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Jeong, Seong-Whan (Department of Internal Medicine, Gachon Medical School Gil Medical Center) ;
  • Nam, Gui-Hyun (Department of Internal Medicine, Gachon Medical School Gil Medical Center)
  • 강문보 (가천의과대학 부속 길병원 내과) ;
  • 김성태 (가천의과대학 부속 길병원 내과) ;
  • 이정구 (가천의과대학 부속 길병원 내과) ;
  • 서찬종 (가천의과대학 부속 길병원 내과) ;
  • 이화은 (가천의과대학 부속 길병원 내과) ;
  • 정종배 (가천의과대학 부속 길병원 내과) ;
  • 김성권 (가천의과대학 부속 길병원 내과) ;
  • 김철 (가천의과대학 부속 길병원 내과) ;
  • 박정웅 (가천의과대학 부속 길병원 내과) ;
  • 정성환 (가천의과대학 부속 길병원 내과) ;
  • 남귀현 (가천의과대학 부속 길병원 내과)
  • Published : 1999.03.30
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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 occured after silicone injection with review of literature.

실리콘 액은 미용 및 성형수술에 널리 사용되어지고 실리콘에 의한 불법적인 의료행위가 증가함에 따라 국소적 부작용 뿐만 아니라 폐 색전증에 의한 급성 호흡곤란 증후군등의 치명적인 폐침범의 부작용을 일으킨다는 보고가 있으나 국내보고는 아직 없었다. 본 증례에서는 건강한 39세 젊은 여자 환자가 질벽에 실리콘액을 주사한 후에 발생한 폐 색전증을 동반한 급성 호흡곤란 증후군 1예을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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