Journal article

Publication year: 2021

Journal: Forensic Science International

Volume number: 325

ISSN: 0379-0738

eISSN: 1872-6283

DOI Link: https://doi.org/10.1016/j.forsciint.2021.110872

Publisher: Elsevier

Abstract: 
Silicone embolism syndrome (SES) is a well known complication after injection of silicone gel as well as liquid silicone. Rarely, men use physiologic salt solution or liquid silicone injected into the subcutaneous tissue of the scrotum, the penis, the upper genital or the inguinal region. Those men, who call themselves "siliconers", want to get a larger penis and scrotum, also visible when wearing clothes. Injections of liquid silicone in the mentioned regions can lead to liquid silicone embolism in the lungs and also the liver, sometimes eventually leading to death via right heart failure as in the present case. Autopsy revealed "frog spawn"-like vacuoles in the subcutaneous tissue of the genital region and liquid silicone embolism in lungs and liver. Additionally, toxicological analyses revealed different liquid silicones. Smaller oligomers were transported into lung and liver, larger ones showed local enrichment at the injection site. The seized Polydimethylsiloxane (PDMS) could not be detected in abdominal fat, blood or urine, potentially due to low perfusion of fat tissue, the aqueous character of blood and urine or the time span between last injection and death. (c) 2021 Elsevier B.V. All rights reserved.

Harvard Citation style: Nebel, A., Veit, F., Weber, A., Martz, W., Lasczkowski, G. and Dettmeyer, R. (2021) Liquid silicone embolism syndrome (SES) in lungs and liver-A case report, Forensic Science International, 325, Article 110872. https://doi.org/10.1016/j.forsciint.2021.110872

APA Citation style: Nebel, A., Veit, F., Weber, A., Martz, W., Lasczkowski, G., & Dettmeyer, R. (2021). Liquid silicone embolism syndrome (SES) in lungs and liver-A case report. Forensic Science International. 325, Article 110872. https://doi.org/10.1016/j.forsciint.2021.110872