Silicone granulomas following free silicone gluteal augmentation

Wosnitzer, Brian; Mirtcheva, Rosna

doi:10.2484/rcr.v6i1.491

Cited by 13 publications

(7 citation statements)

References 13 publications

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“…The first occurrence of silicone granuloma was reported by Winer in 1964 [8]. Granulomas following free silicone gluteal augmentation have also been described by Wosnitzer [9]. …”

Section: Discussionmentioning

confidence: 97%

Gluteal silicone injections and total hip arthroplasty: a case report

et al. 2014

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IntroductionSilicone injection is a common procedure in cosmetic surgery. Granuloma formation and migration are the most commonly observed complications.Case presentationWe report an unusual case of avascular necrosis of the hip in a 41-year-old woman from Thailand presenting with hip pain. Subcutaneous nodules were observed in the clinical examination. A pelvic X-ray revealed necrosis of the right femoral head and histological analysis of the punctuated nodules showed a reaction of foreign body granulomas. During surgical treatment with a hip replacement solitary silicone cysts were removed.ConclusionsThis case report emphasizes that orthopedic surgeons treating patients with necrosis of the hip joint in combination with palpable granulomas in the gluteal region have to be aware of silicone augmentation and its potential complications before planning a hip replacement.

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“…The first occurrence of silicone granuloma was reported by Winer in 1964 [8]. Granulomas following free silicone gluteal augmentation have also been described by Wosnitzer [9]. …”

Section: Discussionmentioning

confidence: 97%

Gluteal silicone injections and total hip arthroplasty: a case report

et al. 2014

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“…Serious reactions to silicone injections have been reported, occurring 3 weeks to 23 years after treatment. Aftermaths include strong pain, skin lesions, deformities, recurrent cellulitis and abscesses, granulomas (“siliconoma” and “paraffinoma”) in the subcutaneous and muscular tissue, lymphadenopathy, silicone migration, and necrosis [ 37 , 38 , 39 ]. Systemic complications have also been reported, including acute pneumonitis, granulomatous hepatitis, organ compression, and sudden death secondary to intravascular embolization [ 40 ].…”

Section: Storing and Miscellaneous Diseasesmentioning

confidence: 99%

“…Free silicone and paraffin are seen as irregularly scattered collections extended along fascial planes, mimicking sarcomatous or metastatic processes [ 38 , 39 ].…”

Section: Storing and Miscellaneous Diseasesmentioning

confidence: 99%

The Benign Side of the Abdominal Wall: A Pictorial Review of Non-Neoplastic Diseases

et al. 2022

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The abdominal wall is the location of a wide spectrum of pathological conditions, from benign to malignant ones. Imaging is often recommended for the evaluation of known palpable abdominal masses. However, abdominal wall pathologies are often incidentally discovered and represent a clinical and diagnostic challenge. Knowledge of the possible etiologies and complications, combined with clinical history and laboratory findings, is crucial for the correct management of these conditions. Specific imaging clues can help the radiologist narrow the differential diagnosis and distinguish between malignant and benign processes. In this pictorial review, we will focus on the non-neoplastic benign masses and processes that can be encountered on the abdominal wall on cross-sectional imaging, with a particular focus on their management. Distinctive sonographic imaging clues, compared with computed tomography (CT) and magnetic resonance (MR) findings will be highlighted, together with clinical and practical tips for reaching the diagnosis and guiding patient management, to provide a complete diagnostic guide for the radiologist.

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“…1,2 Silicone granuloma or siliconoma was first described as a direct result of liquid silicone injections, but these were banned by the Food and Drug Administration (FDA) in 1991 due to numerous complications as well as the aesthetic and functional repercussions, often disastrous. [3][4][5][6] For this reason, silicone breast implants have since been preferred for breast reconstruction and augmentation. However, localized and systemic side-effects following silicone implants have also been reported.…”

Section: Introductionmentioning

confidence: 99%

Management of Contralateral Breast and Axillary Nodes Silicone Migration after Implant Rupture

Elahi

Meuwly

Meuwly³

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Silicone implants were developed in 1962 for breast augmentation and became essential in reconstruction after mastectomy. Silicone “bleeding” has been described from both ruptured and intact implants and can induce disseminated granulomatosis due to the component's high fat solubility. If not adequately treated, they can lead to disastrous cosmetic and functional consequences. Because they may mimic malignancy, prompt and reliable diagnosis should be made as early as possible. Methods: We present a clinical case description of multiple intraparenchymal and ipsi/contralateral intraganglionic siliconomas in a woman who had undergone breast reconstruction, and a literature review of the pathophysiology of siliconomas and their diagnosis and management. Results: Silicone migration to the contralateral breast and lymph node is rare and has seldom been described. The mechanism is still debated. Excluding malignancy is a priority, and systematic management must be respected to avoid misdiagnosis or unnecessary investigations. Conclusions: A multidisciplinary approach is essential for siliconoma management. Silicone-related lymphadenopathies do not require follow-up or special treatment unless they interfere with the diagnosis of tumor recurrence. Careful observation is sufficient for asymptomatic siliconomas; however, symptomatic ones should be treated depending on skin involvement and the patient's eligibility for intervention.

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Silicone granulomas following free silicone gluteal augmentation

Cited by 13 publications

References 13 publications

Gluteal silicone injections and total hip arthroplasty: a case report

Gluteal silicone injections and total hip arthroplasty: a case report

The Benign Side of the Abdominal Wall: A Pictorial Review of Non-Neoplastic Diseases

Management of Contralateral Breast and Axillary Nodes Silicone Migration after Implant Rupture

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