Successful Use of Extracorporeal Membrane Oxygenation for Silicone Embolism Syndrome and Pulmonary Hemorrhage

Vijaykumar, S.; Baran, David A.; Nwosu-Iheme, Adaeze; Seethamraju, Harish; Suanino, Dustin; Medavaram, Sowmini; Holder, Nancy; Anandarangam, T.

doi:10.1016/j.chest.2016.08.382

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“…Mechanical ventilatory support may be needed for worsening respiratory failure. There are case reports describing the need for V–V ECMO in severe cases of cardiopulmonary failure [ [13] , [14] , [15] ]. To our knowledge this is the first case of VAV ECMO used as salvage therapy for SES with acute hypoxic respiratory failure and acute cor pulmonale.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Silicone Embolism Syndrome requiring VA ECMO

Madan

Khan

Martins

et al. 2022

Respiratory Medicine Case Reports

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The illegal use of liquid silicone in injectable procedures has been on the rise for the last few years. While originally thought to be an inert material, today, silicone is associated with several inflammatory complications-including Silicone Embolism Syndrome (SES). SES is the most dreaded complication of unlicensed liquid silicone injections. It is characterized by pneumonitis, diffuse alveolar and silicone pulmonary emboli leading to acute respiratory distress syndrome and cardiopulmonary failure. We present a case of a patient who was diagnosed with SES after she received unlicensed liquid silicone injections for gluteal augmentation. Her disease necessitated treatment with veno-arterial extracorporeal membrane oxygenation. Her neurological status remained poor. Our patient was also treated for SES status-post illicit silicone injections several years prior to the current episode. To our knowledge, this is the only reported instance of the same patient experiencing SES status-post illicit silicone injections on two separate occasions. Our patient's case suggests that robust education is needed for patients and the general public regarding the dangers of illicit body modifications. Given the widespread availability of counterfeit “medical grade” silicone, it is likely that the number of SES cases will continue to increase. Physicians must to be able to recognize the symptoms of SES, and not discount the possibility that patients will continue to receive illicit injections-even if they experienced devastating consequences the first time.

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Section: Discussionmentioning

confidence: 99%