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- W1586406954 abstract "El polimetil-metacrilato es un polimero de alta resistencia al impacto, ampliamente utilizado en diferentes campos de la medicina, sin embargo, aun no esta clara su indicacion como relleno gluteo. A pesar de su aparente inocuidad, se han presentado complicaciones durante su uso como granulomas y nodulos palpables. Se han reportado casos de embolismo pulmonar por polimetil-metacrilato posterior a vertebroplastias. Sin embargo, no se encontro reporte bibliografico de casos de embolismo pulmonar con su uso en procedimientos esteticos. Presentamos caso de paciente femenino de 31 anos de edad, quien 4 horas luego de la inyeccion de 500 cm3 de polimetil-metacrilato en cada region glutea, presenta disnea en reposo de aparicion subita con tos seca y palpitaciones, disminucion de agudeza visual y petequias generalizadas. Se diagnostica probable embolismo pulmonar por polimetil-metacrilato y retinopatia de Purtscher. Existe similitud clinica e imaginologia del caso en estudio con embolismo por silicone, y las imagenes del fondo de ojo semejan la obstruccion de pequenas arteriolas retinianas compatibles con este diagnostico. Se sugieren nuevas investigaciones en el uso de polimetil-metacrilato como procedimiento estetico en pro de la seguridad y en beneficio de los pacientes. ABSTRACT: Polymethyl-methacrylate is a high impact resistant polymer, widely used in different medicine fields, however its indication in buttock implants is still not clear. Even though its apparent innocuity, it has presented complications like granulomas and palpable nodules. There have been reported cases of pulmonary embolism caused by polimetil-metacrilato secondary to vertebroplasties. However, there have been no bibliographic cases of pulmonary embolism due to its use in aesthetic procedures. We present a case of a woman patient of 31 years old, who 4 hours after 500 cc injection of polymethyl- Methacrylate in each buttock, presents rest dyspnea with abrupt dry cough and palpitations, reduction in visual acuity and generalized petechiae. It is diagnosed probable pulmonary embolism by polimetil-metacrilato and Purtscher retinopathy. There is a clinical and imaginological similitude between this case and silicone embolism and the images of fondoscopy are similar to those of small retinian arteriole obstruction compatible with the diagnosis. Thereby, it is suggested new investigations in the use of polymethyl-methacrylate as esthetic procedure in favor of the patient’s security and benefit." @default.
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- W1586406954 date "2009-12-01" @default.
- W1586406954 modified "2023-09-23" @default.
- W1586406954 title "Embolismo por polimetil metacrilato posterior a inyección subcutánea en región glútea: A propósito de un caso" @default.
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