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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(02): 253-256
DOI: 10.1055/s-0042-1760364
Case Report

A Rare Case of Migration of Hyaluronic Acid Gluteal Injection to the Medial Thigh Presenting as a Soft Lump

Ahmed Saad
1   Department of Orthopedics, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, United Kingdom
,
Karthikeyan P. Iyengar 
1   Department of Orthopedics, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, United Kingdom
2   Deprtment of Orthopedics, Southport and Ormskirk Hospital NHS Trust, Southport, United Kingdom
,
A. Mark Davies
3   Department of Musculoskeletal Radiology, University Hospitals of Leicester, Leicester, United Kingdom
,
Rajesh Botchu
3   Department of Musculoskeletal Radiology, University Hospitals of Leicester, Leicester, United Kingdom
› Author Affiliations
Funding None.
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Abstract

Introduction Hyaluronic acid (HA) is a widely accepted agent most commonly used as a dermal filler in facial aesthetic/cosmetic medicine. More recently, HA has been utilized for gluteal augmentation. The common side effects of HA injection are often minor and self-limiting. HA migration is a very rare complication.

Case Report We describe a rare case of HA buttock injection migration in a transgender patient, appearing as a superficial lump on right thigh representing a diagnostic dilemma. We highlight the need of a clinical suspicion and discuss the appropriate investigations for guided management of such patients.

Conclusion It is essential for reporting radiologist to be aware of the commonly used injectable fillers, their complications, and imaging findings to avoid misdiagnosis and guide optimal patient management.

Keywords

Hyaluronic acid - gluteal augmentation - filler injections - magnetic resonance imaging

Note

Consent was obtained from patient for this study.




Publication History

Article published online:
13 January 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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