A fatal case of systemic fat embolism resulting from gluteal injections of vitamin e for cosmetic enhancement

Forensic Sci Int. 2016 Feb:259:e1-4. doi: 10.1016/j.forsciint.2015.11.012. Epub 2015 Nov 28.

Abstract

Recently in Mexico the number of cosmetic surgeries has increased. These procedures are often carried out by unqualified people using obsolete and contraindicated products such as injectable oil, which cause uncorrectable disfigurement or more serious complications, even death, after reaching the systemic circulation. We report the case of a fat embolism syndrome (FES) caused by injections of vitamin E (tocopherol) in order to increase the volume of the buttocks. This case of a FES caused by injections of vitamin E was confirmed by gas chromatography coupled to mass spectrometry.

Keywords: Autopsy; Fat embolism syndrome; Pulmonary edema; Pulmonary embolism; Pulmonary infarction; Tocopherol; Vitamin E injections.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Buttocks*
  • Cosmetics
  • Embolism, Fat / chemically induced*
  • Fatal Outcome
  • Female
  • Gas Chromatography-Mass Spectrometry
  • Humans
  • Injections
  • Mexico
  • Syndrome
  • Vitamin E / poisoning*
  • Vitamins / poisoning
  • Young Adult

Substances

  • Cosmetics
  • Vitamins
  • Vitamin E