Acute limb ischaemia secondary to fat embolism following lipoinjection.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40845537.
- Also identified by DOI 10.1016/j.bjps.2025.08.012.
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Abstract
Peripheral arterial fat embolism is an exceptionally rare complication of autologous fat grafting. We report a 49-year-old woman who developed Rutherford grade IIB ischaemia of the left lower limb 90 min after combined liposuction and gluteo-femoral lipoinjection. Urgent thromboembolectomy 12 h later retrieved mature adipose fragments, yet progressive gangrene mandated transfemoral amputation. The case underscores the need for strict injection technique, intra-operative ultrasound guidance and prompt vascular referral when acute limb pain follows lipoinjection.
Medical subject headings
- Embolism, Fat
- Ischemia
- Lipectomy
- Adipose Tissue
- Lower Extremity
- Leg