Atypical Capsular Contracture with Delayed Intracapsular Hematoma After Breast Implantation for Reconstruction

Author:

Kim Sung-EunORCID,Kim Se HunORCID,Shim Jeong SuORCID

Abstract

AbstractLate spontaneous hematoma (> 6 months postoperatively) after breast reconstruction using implant is rare complication. We experienced a case of capsular contracture with a unique clinical form of intracapsular hematoma 13 years after implantation of smooth saline filled implants. This report presented the mechanism of complication examined through chart-review, histological morphological analysis, and literature review to help evaluation and treatment of various symptoms around the breast implant capsule. A 51-year-old woman underwent a unilateral breast reconstruction using tissue expander insertion in 2005, and underwent saline implant insertion after a year. A patient has been assessed through computed tomography (CT) and ultrasonography annually for cancer screening in General Surgery department, and in 14 years after implantation, she was referred to the Plastic Surgery department as a finding intracapsular multi-layering lesion around implant. She underwent implant removal and capsulectomy. The excised capsule was sent for histological evaluation. There were no trauma event, calcifications, or implant rupture. Symptoms of swelling and stiffness gradually developed. The etiology of late hematoma following implantation has been poorly characterized. There are opinions that delayed hematoma can be induced by capsule microfracture, which may be due to the rigidity of the contracted capsule, and that it may be caused by friction between the capsule and the implant when there is pathological contracture. It is thought to be an old hematoma capsule contracture that can be mistaken for tumor lesions, and it was concluded that our case corresponds.

Publisher

Springer Science and Business Media LLC

Subject

Surgery

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3