Seth Akhil K, Kim John Ys
Department of Surgery;
Can J Plast Surg. 2010 Summer;18(2):e27-9.
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.
植入式隆乳术可能会因血肿形成而出现并发症。大多数血肿发生在术后即刻。然而，也有一些关于延迟出现血肿的报道。这些术后晚期血肿很罕见，而且许多此类病例没有明确的损伤机制，或者在触发事件后并未立即出现症状。本文介绍了一例乳房切除术后使用盐水植入物进行乳房重建七年之后出现晚期包膜下血肿的病例。与大多数已发表的病例不同，该患者有已知且可追溯的出血原因，并且在初始事件后立即出现了症状。此外，她的损伤机制与术中观察到的包膜撕裂出血一致。本病例强调了对有乳房重建病史的患者进行全面评估和管理的重要性。
