Summary
A 29 year old Hispanic woman with a history of breast augmentation and a pregnancy
complicated by placental abruption presented to the plastic surgery service for evaluation
of a swollen right breast. The patient was examined and several tests were performed
to rule out infection, galactocele, and malignancy. The swelling was attributed to
fluid adjacent to her implant which was aspirated and found to contain red blood cells
and foam cells but no infectious agent or malignant cells. One month after aspiration
and continued drainage, the patient returned with recurrent swelling and pain. Repeat
imaging showed recurrent fluid collection in the right breast. Excision and capsulectomy
were performed and the patient was found to have a double capsule with a seroma. This
article presents the first known case of pregnancy-associated late implant seroma
formation, as well as a brief review of the literature regarding this rare finding
in prosthetic breast augmentation.
Keywords
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References
Hall-Findlay EJ. Breast implant complication review: double capsules and late seromas. Plast Reconstr Surg, 127:56–66 10.1097/PRS.1090b1013e3181fad1034d.
- Managing late periprosthetic fluid collections (seroma) in patients with breast implants: a consensus panel recommendation and review of the literature.Plast Reconstr Surg. 2011;
- Late seroma after breast augmentation with silicone prostheses: a case report.Breast J. 2007; 13: 421
- Complications, reoperations, and revisions in breast augmentation.Clin Plast Surg. 2009; 36: 139
Mazzocchi M, Dessy LA, Carlesimo B, Marchetti F, Scuderi N. Late seroma formation after breast surgery with textured silicone implants: a problem worth bearing in mind. Plast Reconstr Surg, 125:176e–177e 110.1097/PRS.1090b1013e3181cb1664d.
- Jogging as a possible cause of late seroma after aesthetic breast augmentation with textured silicone prosthesis: A conservative approach..J Plast Reconstr Aesthet Surg. 2011; 64: e216-7
- Incidence and severity of short-term complications after breast augmentation: results from a nationwide Breast Implant Registry.Ann Plast Surg. 2003; 51: 531-539
- Anaplastic large-cell lymphoma in women with breast implants.JAMA. 2008; 300: 2030-2035
- Management of common and uncommon problems after primary breast augmentation.Clin Plast Surg. 2009; 36: 127
- Seroma-associated primary anaplastic large-cell lymphoma adjacent to breast implants: an indolent T-cell lymphoproliferative disorder.Mod Pathol. 2008; 21: 455
Article info
Publication history
Published online: November 28, 2011
Accepted:
November 7,
2011
Received:
September 26,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
