Open AccessUnusual presentation of a late complication in a polyacrylamide gel-injected breast
Author(s) -
Huiling Peng,
Yi-Ho Cheng,
Yu-Hsien Lin,
Chih-Hsin Ko
Publication year - 2017
Publication title -
formosan journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 8
eISSN - 2213-5413
pISSN - 1682-606X
DOI - 10.4103/fjs.fjs_24_17
Subject(s) - medicine , breast augmentation , augmentation mammoplasty , complication , surgery , presentation (obstetrics) , magnetic resonance imaging , radiological imaging , radiological weapon , implant , physical examination , radiology
Implant migration is a known complication of hydrophilic polyacrylamide gel (PAAG) mammoplasty. We report the case of a female patient with an undisclosed history of bilateral breast augmentation with PAAG injections 10 years ago. The patient presented with abdominal pain and rapid gel migration into the abdominal and pelvic walls after sneezing. Computed tomography and sonography were performed, but the results were inconclusive. The diagnosis of PAAG migration was not made until the patient complained of progressive shrinkage of her right breast and disclosed the history of PAAG mammoplasty. A subsequent magnetic resonance imaging study confirmed the diagnosis. Gel migration was successfully treated using endoscopic lavage and breast debridement. Familiarity with the radiological features of PAAG migration and a thorough examination of the patient's history are mandatory for the accurate diagnosis of this complication