{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:12:48Z","timestamp":1788433968099,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,2,4]],"date-time":"2015-02-04T00:00:00Z","timestamp":1423008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Fat embolism is usually associated with long bone fractures or other trauma. The diagnosis is usually clinical, and in most cases, emboli are not fatal and not usually seen on gross examination. At the Los Angeles County Coroner's Office, we autopsied the victim of fatal macroscopic fat embolization to the lungs. The patient died during buttock enhancement surgery when fat from liposuction was injected into her buttocks. Fat embolism from liposuction and fat injection is reportedly rare, and macroscopic embolization is rarer still. Varicose veins can occur in the area of the sciatic notch and are known to cause painful sciatica symptoms. We suggest them as a potential conduit for macroscopic fat to reach the lungs. Simple pre\u2010operative questioning for sciatica symptoms and possible radiologic study to rule out sciatic varices seem prudent before undertaking buttock\u2010enhancing surgery. Careful fat injection with pre\u2010aspiration is always advised.<\/jats:p>","DOI":"10.1111\/1556-4029.12549","type":"journal-article","created":{"date-parts":[[2015,2,4]],"date-time":"2015-02-04T19:26:54Z","timestamp":1423078014000},"page":"509-510","source":"Crossref","is-referenced-by-count":57,"title":["Fat Transfer and Fatal Macroembolization"],"prefix":"10.1111","volume":"60","author":[{"given":"Denis C.","family":"Astarita","sequence":"first","affiliation":[{"name":"Los Angeles County Department of Coroner Los Angeles CA 90033"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa A.","family":"Scheinin","sequence":"additional","affiliation":[{"name":"Los Angeles County Department of Coroner Los Angeles CA 90033"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakshmanan","family":"Sathyavagiswaran","sequence":"additional","affiliation":[{"name":"Los Angeles County Department of Coroner Los Angeles CA 90033"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-008-9184-0"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X10373063"},{"key":"e_1_2_5_4_1","unstructured":"MendietaC.Butt augmentation with transfer (Brazilian butt lift);http:\/\/www.buttsbymendieta.com\/aug.asp(accessed September 15 2013)."},{"key":"e_1_2_5_5_1","unstructured":"MendietaC.Former Miss Argentina dies after butt augmentation goes wrong;http:\/\/www.buttplasticsurgeonblog.com(accessed September 15 2013)."},{"key":"e_1_2_5_6_1","doi-asserted-by":"crossref","unstructured":"LeMendolaB.Fat transfer plastic surgeries come with risks. 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