A Rare Complication Following Breast Implant Surgery: Capsular Contracture with a Cutaneous Silicone Fistula after Breast Reconstruction with Silicone Gel Implants | Zendy

KlausJürgen Walgenbach | Zendy; Christiane Kühl | Zendy; Christian Rudlowski | Zendy; Martin Poelcher | Zendy; Axel Sauerwald | Zendy; Gisela WalgenbachBrünagel | Zendy; Walther Kuhn | Zendy; Michael Braun | Zendy

Open Access

A Rare Complication Following Breast Implant Surgery: Capsular Contracture with a Cutaneous Silicone Fistula after Breast Reconstruction with Silicone Gel Implants

Author(s) -

KlausJürgen Walgenbach,

Christiane Kühl,

Christian Rudlowski,

Martin Poelcher,

Axel Sauerwald,

Gisela WalgenbachBrünagel,

Walther Kuhn,

Michael Braun

Publication year - 2011

Publication title -

breast care

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.767

H-Index - 30

eISSN - 1661-3805

pISSN - 1661-3791

DOI - 10.1159/000319499

Subject(s) - medicine , capsular contracture , fistula , silicone , inframammary fold , surgery , complication , breast augmentation , breast reconstruction , implant , breast implant , erythema , breast cancer , chemistry , organic chemistry , cancer

SUMMARY: 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.

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