Walgenbach Klaus-Jürgen, Kuhl Christiane, Rudlowski Christian, Poelcher Martin, Sauerwald Axel, Walgenbach-Brünagel Gisela, Kuhn Walther, Braun Michael
Division of Plastic and Aesthetic Surgery, University Hospital Bonn, Germany.
Breast Care (Basel). 2011;6(1):51-53. doi: 10.1159/000319499. Epub 2011 Feb 22.
BACKGROUND: We report the case of a 74-year-old female patient who presented at the Breast Care Centre with watery discharge from a fistula in the inframammary fold of the left breast. CASE REPORT: The patient initially presented with watery discharge coming from the fistula, which later took on a more viscous consistency. She reported mild discomfort as well as mild erythema. Clinical examination and diagnostic approaches including magnetic resonance imaging (MRI) revealed a cutaneous silicone fistula as a rare complication following breast implant reconstruction. The condition was treated with excision of the fistula and bilateral implant removal. CONCLUSIONS: This case report documents a rare complication following breast reconstruction with implants, and is to our knowledge the first described MRI-detected cutaneous silicone fistula.
背景：我们报告一例74岁女性患者，她因左乳房下皱襞处瘘管出现水样溢液而就诊于乳腺护理中心。病例报告：患者最初表现为瘘管流出水样溢液，随后溢液变得更加黏稠。她自述有轻度不适以及轻度红斑。临床检查和包括磁共振成像（MRI）在内的诊断方法显示，这是乳房植入物重建术后罕见的并发症——皮肤硅酮瘘。该病症通过瘘管切除和双侧植入物取出进行治疗。结论：本病例报告记录了乳房植入物重建术后一种罕见的并发症，据我们所知，这是首例经MRI检测到的皮肤硅酮瘘。
