<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152017000100312</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embolismo graso asociado a liposucción y autoinjerto graso:]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Balmaceda Chaves]]></surname>
<given-names><![CDATA[Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Departamento de Medicina Legal Poder Judicial]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>312</fpage>
<lpage>318</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152017000100312&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152017000100312&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152017000100312&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Se presenta el caso de una femenina de 30 años de edad, portadora de cirrosis por hepatitis autoinmune, la cual ingresó a una clínica privada para la realización de un liposucción más lipoinyección grasa; finalizando la cirugía presentó disminución progresiva de los niveles de saturación de oxígeno y de capnometría, marcando trazos de actividad eléctrica sin pulso, se le realizaron maniobras de RCP (reanimación cardiopulmonar), más la administración de enipinefrina, sin resultados. Fue trasladada al hospital donde nuevamente se le realizaron maniobras de RCP y posteriormente, a menos de una hora de haber ingresado, se corroboró la ausencia de actividad cardíaca mediante ultrasonido y se declaró a la paciente fallecida. El embolismo graso es conocido por ser una entidad frecuente en las cirugías ortopédicas, sin embargo dado el aumento en la oferta y demanda de las cirugías plásticas, entre ellas la liposucción, se ha presentado con una mayor incidencia en los procedimientos estéticos con el pasar del tiempo, tomando mayor interés y entre los médicos que realizan dichos procedimientos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: We report the case of a 30-year-old woman with cirrhosis due to autoimmune hepatitis, who entered a private clinic to perform lipoinjection and fat liposuction; At the end of surgery, progressive reduction of oxygen saturation levels and capnometry, marking strokes of electrical activity without pulse, CPR maneuvers, and enipinefrin administration were performed, with no results. She was transferred to the hospital where CPR maneuvers were performed again, and later, less than one hour after her admission, the absence of heart disease was corroborated by ultrasound and the patient was declared deceased. Fat embolism is known to be a frequent entity in orthopedic surgeries; however, given the increase in the supply and demand of plastic surgeries, among them liposuction, it has been presented with a greater incidence in aesthetic procedures with the passing of the time, taking greater interest and among the doctors who perform such procedures.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[embolismo graso]]></kwd>
<kwd lng="es"><![CDATA[síndrome de embolismo graso]]></kwd>
<kwd lng="es"><![CDATA[liposucción]]></kwd>
<kwd lng="es"><![CDATA[síndrome de distress respiratorio agudo]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia respiratoria aguda]]></kwd>
<kwd lng="en"><![CDATA[Fat embolism]]></kwd>
<kwd lng="en"><![CDATA[fatty embolism syndrome]]></kwd>
<kwd lng="en"><![CDATA[liposuction]]></kwd>
<kwd lng="en"><![CDATA[acute respiratory distress syndrome]]></kwd>
<kwd lng="en"><![CDATA[acute respiratory failure]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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