Pace Sean, Barbara Jessica, Grech Elizabeth, Bardon Michael Pace
Mater Dei Hospital, Triq id-Donaturi tad-Demm, l-Imsida, MSD2090, Malta, Europe.
Radiol Case Rep. 2024 Oct 23;20(1):234-238. doi: 10.1016/j.radcr.2024.09.127. eCollection 2025 Jan.
Silicone breast implants are common but may be associated with a number of complications including implant rupture. This case reports a 38-year-old woman with bilateral breast implants who presented with breast unevenness, triggering a cascade of investigations that identified implant rupture. A computed tomography scan of the thorax showed subpleural enhancing nodules in the left lung of equal density as the implants, repeat computed tomography thorax months later showed no interval changes. In this case, extracapsular rupture causing deposits of silicone via the lymphatic system into the lungs resulted in nodules visible on imaging. Reassuring radiological findings and lack of red flag symptoms led to radiological follow-up and avoided the need for invasive procedures such as biopsy. The authors aim to remind clinicians of the importance of maintaining a high index of clinical suspicion for implant-related pathology and to add to current literature regarding this rare complication.
硅胶乳房植入物很常见，但可能会引发包括植入物破裂在内的多种并发症。本病例报告了一名38岁双侧乳房植入硅胶的女性，她出现了乳房不对称的情况，引发了一系列检查，最终确诊为植入物破裂。胸部计算机断层扫描显示左肺胸膜下有强化结节，其密度与植入物相同，数月后重复胸部计算机断层扫描显示无间隔变化。在该病例中，植入物囊外破裂致使硅胶通过淋巴系统沉积到肺部，从而在影像学上显示出结节。影像学检查结果令人安心且无警示症状，因此采取了影像学随访，避免了活检等侵入性操作的必要。作者旨在提醒临床医生，对于与植入物相关的病变保持高度临床怀疑的重要性，并为有关这种罕见并发症的现有文献增添内容。
