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Aesthetic Plastic Surgery

, Volume 37, Issue 1, pp 194–197 | Cite as

Massive Subcutaneous Emphysema After Carbon Dioxide Mesotherapy

  • Wenceslao M. CalongeEmail author
  • Drahoslava Lesbros-Pantoflickova
  • Marina Hodina
  • Badwi Elias
Letter to the Editor Non-Surgical Aesthetic

Abstract

The authors report the observation of a 43-year-old woman with severe pain on her right upper abdominal quadrant. Differential diagnoses included acute cholecystitis, spontaneous pneumothorax, perforated appendicitis and a recidive of renal calculus. CT-scan showed a huge subdermal gas bubble along her right flank and anterior abdominal wall up to the submammary fold. Only at this point, the patient admitted to have undergone a carboxytherapy procedure on both thighs one day before onset of pain in a paramedical facility. As some of the injection trajects were still patent on CT-scan, she received prophylactic antibiotic coverage. Though there was a complete resorption of gas after 10 days, dysesthesias and muscle contracture persisted for 3 weeks. To the authors’ knowledge this migration and coalescence of injected gas in a single bubble has not been previously reported.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266.

Keywords

Iatrogeny Complications Mesotherapy Carboxytherapy Subcutaneous emphysema 

Notes

Conflict of interest

The authors have no conflicts of interest to disclose.

References

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Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013

Authors and Affiliations

  • Wenceslao M. Calonge
    • 1
    Email author
  • Drahoslava Lesbros-Pantoflickova
    • 1
  • Marina Hodina
    • 2
  • Badwi Elias
    • 3
  1. 1.Department of MedicineClinique de GenolierGenolierSwitzerland
  2. 2.Department of RadiologyClinique de GenolierGenolierSwitzerland
  3. 3.Department of Plastic, Reconstructive and Aesthetic SurgeryClinique de GenolierGenolierSwitzerland

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