Chronic haematoma as a late complication of cosmetic breast augmentation

Iorwerth, Awen; Cochrane, R.; Webster, David

doi:10.1054/brst.1999.0117

Cited by 18 publications

(19 citation statements)

References 10 publications

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“…Unlike our patient, the majority of published cases (2,3,6,8,9,11,13,14) demonstrated the chronic development of hematomas with progressive worsening of symptoms over the course of weeks to months. Patients only rarely presented with sudden onset of symptoms (10,15,16).…”

Section: Discussioncontrasting

confidence: 61%

“…An extensive literature search revealed only 20 reported cases of delayed capsular hematoma, presenting between four months and 22 years after the initial implant placement. Nine cases involved reconstruction following mastectomy for breast cancer (1-6), similar to our patient, while the remainder of cases involved aesthetic breast augmentation (7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Several different etiologies have been proposed including trauma, coagulopathy, progressive capsular contracture and microfracture, implant rupture, recurrent cancer and infection (3,6,10).…”

Section: Discussionmentioning

confidence: 54%

“…The incidence of periprosthetic hematoma in the immediate postoperative period has been reported to range from 2% to 10.3% (4,6,8,10,(12)(13)(14)(15). However, delayed hematomas following breast reconstruction or augmentation are a rare complication.…”

Section: Discussionmentioning

confidence: 99%

“…Several different etiologies have been proposed including trauma, coagulopathy, progressive capsular contracture and microfracture, implant rupture, recurrent cancer and infection (3,6,10). However, many cases do not have a triggering event or a definitive etiology observed intraoperatively (1,6,8,9,11,12,14). Wang et al (2) presented two cases involving polyurethane foam-covered breast implants, which triggered a highly vascular and inflammatory reaction causing erosion of the surrounding vessels.…”

Section: Discussionmentioning

confidence: 99%

“…Most hematomas occur in the immediate postoperative period; however, there are reports of hematomas with a delayed presentation. Based on the literature, these hematomas in the late postoperative period are rare, with only 20 reported cases (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Moreover, many of these cases do not have a definitive mechanism of injury or develop symptoms immediately after the triggering event.…”

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confidence: 99%

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Acute symptomatic hematoma with defined etiology seven years after breast reconstruction: A case report and literature review

Seth¹,

Kim²

2010

J Plast Surg

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Breast reconstruction or augmentation mammaplasty with implants can be complicated by hematoma formation. Most hematomas occur in the immediate postoperative period; however, there are reports of hematomas with a delayed presentation. Based on the literature, these hematomas in the late postoperative period are rare, with only 20 reported cases (1-16). Moreover, many of these cases do not have a definitive mechanism of injury or develop symptoms immediately after the triggering event. We present a unique case of delayed postoperative hematoma with both a clear traumatic etiology and anatomical basis that resulted in an acute hematoma seven years after breast reconstruction. CASE prESEntAtionA 53-year-old woman presented to the emergency department with right breast pain that had begun a few days earlier. The patient had a history of right mastectomy seven years previously for extensive ductal carcinoma in situ with tissue expander reconstruction followed by an exchange for a 600 mL saline implant four months later. She reported having right breast soreness after performing vigorous stretching exercises. The following morning, she noted increased pain and bruising over the medial aspect of the breast. She underwent right breast ultrasound (Figure 1) in the clinic that demonstrated a small fluid collection between the anterior surface of the implant and the overlying tissue, which was of unclear consistency. This was best observed along the inferomedial aspect of the implant near the chest wall, which corresponded to the patient's maximal point of soreness. A magnetic resonance Augmentation mammaplasty with implants can be complicated by hematoma formation. The majority of hematomas occur in the immediate postoperative period. There are, however, some reports of hematomas with a delayed presentation. These hematomas in the late postoperative period are rare, and many of these cases do not have a definitive mechanism of injury or develop symptoms immediately after the triggering event. A case of late capsular hematoma seven years after breast reconstruction with a saline implant following mastectomy is presented. In contrast to the majority of published cases, the patient presented with both a known and traceable cause of her bleed and with symptoms that developed immediately after the initial event. Furthermore, the mechanism of her injury was consistent with a bleeding capsular tear that was observed intraoperatively. The present case emphasizes the importance of thorough evaluation and management of patients with a history of breast reconstruction. Key Words: Acute; Breast reconstruction; Delayed; HematomaUn hématome symptomatique aigu à l'étiologie définie sept ans après une reconstruction mammaire : rapport de cas et analyse bibliographique L'augmentation mammaire à l'aide d'implants peut être compliquée par la formation d'un hématome. La majorité de ces hématomes se manifestent pendant la période postopératoire immédiate. Cependant, certains rapports font foi de la présence d'hématomes à apparition retardée. ...

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Section: Discussioncontrasting

confidence: 61%

Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Acute symptomatic hematoma with defined etiology seven years after breast reconstruction: A case report and literature review

Seth¹,

Kim²

2010

J Plast Surg

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Late Capsular Hematoma After Implant-Based Breast Reconstruction

Ibrahim

Sarhane

Chang

et al. 2016

Breast Reconstruction

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An unusual case of late hematoma after implant-based breast reconstruction mimicking an anaplastic large cell lymphoma: a case report and literature review

et al. 2021

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Late hematoma associated with breast implants used in esthetic and reconstructive breast surgery represents a rare entity. These hematomas do not have a clear etiology, but triggering events like trauma, anticoagulant use, capsule contracture, or chronic inflammation are reported in literature. We describe an 82-year-old patient who developed a unilateral intra-capsular hematoma 19 years after mastectomy and breast reconstruction with McGhan 445 g implant. Differential diagnosis with anaplastic large cell lymphoma (ALCL) was considered and potential causes of hematoma were evaluated. Constant pressure forces on chest wall were defined as pathophysiological cause. A systematic literature review concerning late hematoma cases was carried out, focusing on late hematoma etiology and various surgical treatments.Level of evidence: Level V, diagnostic study.

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Chronic haematoma as a late complication of cosmetic breast augmentation

Cited by 18 publications

References 10 publications

Acute symptomatic hematoma with defined etiology seven years after breast reconstruction: A case report and literature review

Acute symptomatic hematoma with defined etiology seven years after breast reconstruction: A case report and literature review

Late Capsular Hematoma After Implant-Based Breast Reconstruction

An unusual case of late hematoma after implant-based breast reconstruction mimicking an anaplastic large cell lymphoma: a case report and literature review

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