Department of Plastic Surgery, Baylor College of Medicine, Houston, Texas, United States.
J Plast Reconstr Aesthet Surg. 2012 Jul;65(7):973-6. doi: 10.1016/j.bjps.2011.11.022. Epub 2011 Nov 26.
A 29 year old Hispanic woman with a history of breast augmentation and a pregnancy complicated by placental abruption presented to the plastic surgery service for evaluation of a swollen right breast. The patient was examined and several tests were performed to rule out infection, galactocele, and malignancy. The swelling was attributed to fluid adjacent to her implant which was aspirated and found to contain red blood cells and foam cells but no infectious agent or malignant cells. One month after aspiration and continued drainage, the patient returned with recurrent swelling and pain. Repeat imaging showed recurrent fluid collection in the right breast. Excision and capsulectomy were performed and the patient was found to have a double capsule with a seroma. This article presents the first known case of pregnancy-associated late implant seroma formation, as well as a brief review of the literature regarding this rare finding in prosthetic breast augmentation.
一位 29 岁的西班牙裔女性，有隆胸史，曾因胎盘早剥而怀孕，因右乳房肿胀就诊于整形科。对患者进行了检查，并进行了多项检查以排除感染、积乳囊肿和恶性肿瘤。肿胀归因于她的植入物附近的液体，对其进行了抽吸，发现含有红细胞和泡沫细胞，但没有感染因子或恶性细胞。抽吸和持续引流一个月后，患者出现复发性肿胀和疼痛。重复成像显示右乳房再次出现积液。进行了切除和包膜切除术，发现患者有双包膜和血清肿。本文报道了首例妊娠相关晚期植入物血清肿形成的病例，并简要回顾了关于假体隆胸中这种罕见发现的文献。
