Acute Inflammatory Response of the Male Breasts Secondary to Self-injection of Petroleum Jelly: A Case Report

Chen, Ming; Yalamanchili, Chandana; Hamous, J. E.; Piskun, Mary A.; Weis, Brian

doi:10.1097/smj.0b013e3181684ae4

Cited by 6 publications

(4 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In order to have realistic expectations when initiating hormone treatment, trans women should be counseled regarding the expected effects of current cross‐sex hormone therapies on breast development. Some trans persons desperately seeking breast augmentation resort to quackery such as injection of silicone or petroleum jelly [25], with potentially important side effects [26–31].…”

Section: Discussionmentioning

confidence: 99%

Clinical Review: Breast Development in Trans Women Receiving Cross-Sex Hormones

Wierckx

Gooren²,

T’Sjoen

2014

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction In trans women (male-to-female transsexual persons), cross-sex hormone therapy is administered to induce feminization. Breast development is an important part of feminization for most trans women. Aim The aim of this study is to assess the effect of cross-sex hormone therapy on breast development in adult trans women. Additionally, we aimed to investigate the benefit or harm of administration of progestogens on breast development. Methods A review of the literature in Embase, Medline, The Cochrane Library, PsycINFO databases, PubMed, and Web of Knowledge until January 2014. Main Outcome Measures Effects of cross-sex hormone therapy and progestogens on breast development in trans women. Results Only few studies with low quality of evidence addressed these topics. The available evidence suggests that breast development is insufficient for the majority of trans women and that type and dosage of hormonal therapy seem not to have an important role on final breast size. Conclusions Our knowledge concerning the natural history and effects of different cross-sex hormone therapies on breast development in trans women is extremely sparse and based on low quality of evidence. Current evidence does not provide evidence that progestogens enhance breast development in trans women. Neither do they prove the absence of such an effect. This prevents us from drawing any firm conclusion at this moment and demonstrates the need for further research to clarify these important clinical questions.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical Review: Breast Development in Trans Women Receiving Cross-Sex Hormones

Wierckx

Gooren²,

T’Sjoen

2014

The Journal of Sexual Medicine

View full text Add to dashboard Cite

show abstract

“…[7] Patients who underwent gynecomastia subcutaneous mastectomy through endoscopic axillary approach had higher scar satisfaction with better postoperative outcomes. [13,14] Repetitive injection of foreign body for the augmentation of body contour had been reported since the late 19th century, [1] and still occasionally noted in recent days. Non-medical foreign body injection might induce tissue reactions related to the local inflammation and subsequent scarring, while systemic complications may lead to granulomatous hepatitis, pneumonitis, systemic embolism, autoimmune disease, and sometimes even lethal.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of complicated gynecomastia (associated with foreign body injection) with single-port 3-dimensional videoscope-assisted endoscopic subcutaneous mastectomy and concurrent liposuction

et al. 2021

View full text Add to dashboard Cite

Rationale: Gynecomastia is a common benign breast disorder in men. Surgical management of gynecomastia includes that of a subcutaneous mastectomy with or without concurrent liposuction. Herein, the authors presented a case of complicated gynecomastia (gynecomastia with concurrent foreign body injection) which was successfully managed with an innovative technique that offered acceptable operative time, minimal complications, good recovery and satisfactory aesthetic outcome. Patient Concerns: A 39-year-old Taiwanese man who developed gynecomastia along with self-injection of foreign body (salad oil) over the past 10 years for breast enlargement presented as symptomatic bilateral breast lumps. Diagnosis: Bedside sonography revealed multiple large droplets of oil in the subcutaneous tissue bilaterally, resembling cystic lesions. Intervention: Bilateral single-port 3-dimensional videoscope-assisted endoscopic subcutaneous mastectomy was performed after bilateral breast liposuction. Operative findings include bilateral gynecomastia and previous bilateral breast foreign body material. The total weight of lipoaspirate was 400 grams and 300 grams for right and left side respectively. Subcutaneous mastectomy specimen weight was 820 grams and 661 grams for right and left breast tissue. Outcomes: Operative duration was 315 minutes and intraoperative blood loss at 150 ml. Patient was discharged 2 days after the operation, and subsequent follow up ultrasound showed complete removal of foreign bodies and fibrotic breast tissue. Patient was satisfied with the post-operative aesthetic outcomes. Lessons: Single-port 3-dimensional videoscope-assisted endoscopic subcutaneous mastectomy with concurrent liposuction is a promising and safe surgical option for patient with complicated gynecomastia and severe fibrosis.

show abstract

“…Subcutaneous injection of petroleum compounds has been known to cause swelling, redness, tenderness, crepitation, necrosis and abscess formation according to the volume, the depth and the impregnation time after injection 1 4 6–8. In the approach to the patient who was admitted because of subcutaneous injection of petroleum compounds, two general views should be considered: first, assessment of the injection area and early local treatment as incision, drainage and frequent debridement of the necrotic tissues and second, careful investigation of the respiratory system to observe signs of hydrocarbon intoxication such as tachypnoea, distress, atelectasia, pneumothorax and pneumatocele 1 2 5 9…”

Section: Discussionmentioning

confidence: 99%

“…Intravenous or soft tissue injection of hydrocarbons depending on the concentration of toxic constituents and the duration of their local affect may cause respiratory injury, arrhythmia, soft tissue necrosis, thrombophlebitis, abscess formation and chronic bone injury. Generally, the most common side effect of hydrocarbon poisoning is respiratory toxicity 1 2 4…”

mentioning

confidence: 99%

Chest wall necrosis and empyema resulting from attempting suicide by injection of petroleum into the pleural cavity

Eskandarlou

Moaddab

2010

Emergency Medicine Journal

View full text Add to dashboard Cite

Hydrocarbon poisoning such as that of benzene and petroleum usually occurs accidentally by inhalation or ingestion of these cytotoxic chemical compounds. Intravenous or subcutaneous injection of petroleum compounds with intent of suicide or abuse is an extraordinary event that can result in local damage or systemic toxicity such as tissue necrosis, abscess formation, respiratory system failure and partial damage to the kidneys, the brain and the nervous system. In this article, we describe a 31-year-old man who was admitted in the surgery ward of Besat Hospital. He had widespread necrosis and infection of the chest wall soft tissue and also had empyema after a suicidal attempt by injection of 40 ml of petroleum into the left hemithorax. The patient underwent repeated surgical debridement of the chest wall necrotic tissues. With segmentectomy and flap reconstruction of the chest wall wound, he recovered completely and was discharged. Our report supports early and aggressive surgical debridement of necrotic tissue, thoracotomy tube insertion and special care of respiratory system toxicity after chest wall injection of petroleum. Regarding the basis of clinical findings and paraclinical investigations that measure lung parenchymal necrosis with empyema and fistula formation, thoracotomy and decortication with or without lung tissue resection and also chest wall reconstruction are the standard treatment of these patients.

show abstract

Acute Inflammatory Response of the Male Breasts Secondary to Self-injection of Petroleum Jelly: A Case Report

Cited by 6 publications

References 12 publications

Clinical Review: Breast Development in Trans Women Receiving Cross-Sex Hormones

Clinical Review: Breast Development in Trans Women Receiving Cross-Sex Hormones

Surgical management of complicated gynecomastia (associated with foreign body injection) with single-port 3-dimensional videoscope-assisted endoscopic subcutaneous mastectomy and concurrent liposuction

Chest wall necrosis and empyema resulting from attempting suicide by injection of petroleum into the pleural cavity

Contact Info

Product

Resources

About