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Updated: Jul 16, 2026

Acupoint Catgut Embedding Therapy for Abdominal Obesity Treatment
Published on: November 22, 2024
[Abdomen pendulum and subcutaneous injections: the complications. Two case reports]
1Service de chirurgie plastique, reconstructrice et esthétique, hôpital Nord, CHU d'Amiens, Place Victor-Pauchet, 80000 Amiens, France. gazo41@hotmail.com
Subcutaneous injections in morbidly obese patients can lead to severe complications like giant hematomas and cellulitis. Careful injection site selection and patient education are crucial for managing these risks.
Area of Science:
- Endocrinology
- Vascular Surgery
- Dermatology
Background:
- Morbid obesity presents unique challenges for subcutaneous injections.
- Abdominal wall complications from injections are rare but serious.
Observation:
- A patient developed a massive abdominal hematoma after low molecular weight heparin injections for pulmonary embolism.
- Another patient experienced abdominal wall cellulitis following insulin injections.
Findings:
- The heparin-induced hematoma required surgical drainage (dermolipectomy) of four liters.
- The insulin-induced cellulitis necessitated emergency surgical intervention.
Implications:
- Highlights the need for meticulous injection site rotation and appropriate dosing in obese patients.
- Underscores the importance of patient therapeutic education to prevent potentially life-threatening injection complications.
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