Abstract
“Acute seroma syndrome” in augmented breast represents a new clinical entity completely different from early postoperative seroma and late seromas. It is an acute bilateral and symmetrical breast enlargement with severe local inflammatory reaction, during an infection located into another body area, most commonly on the throat. There is no connection with any kind of trauma on the breasts. The acute seroma on augmented breast during a regional infection (bacterial or viral) is similar to other serous membrane reaction as acute mesenteric lymphadenitis (simulating acute appendicitis) and the acute gonococchal perihepatitis in Fitz Hugh-Curtis syndrome (simulating acute cholecystitis). This serous membrane reaction comes during the regional inflammatory reaction, when the lymphatic channels and lymph nodes are under stress and a high hydrostatic pressure and hyperpermeability lead to acute fluid extravasations, without any local bacterial or viral contamination. For these reasons, the authors define it as pericapsular lymphangitis and acute seroma syndrome in augmented breast.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Fowler MR, Nathan CA, Abreo F. Synovial metaplasia, a specialized form of repair. A case report and review of the literature. Arch Pathol Lab Med. 2002;126(6):727–30.
Araco A, Gravante G, Araco F, Delogu D, Cervelli V, Walgenbach K. A retrospective analysis of 3,000 primary aesthetic breast augmentations: postoperative complications and associated factors. Aesthetic Plast Surg. 2007;31(5):532–9.
Hameed MR, Erlandson R, Rosen PP. Capsular synovial-like hyperplasia around mammary implants similar to detritic synovitis: a morphologic and immunohistochemical study of 15 cases. Am J Surg Pathol. 1995;19(4):433–8.
Ko CY, Ahn CY, Ko J, Chopra W, Shaw WW. Capsular synovial metaplasia as a common response to both textured and smooth implants. Plast Reconstr Surg. 1996;97(7):1427–33.
Emery JA, Spanier SS, Kasnic GJ, Hardt NS. The synovial structure of breast-implant-associated bursae. Mod Pathol. 1994;7(7):728–33.
Chase DR, Oberg KC, Chase RL, Malott RL, Weeks DA. Pseudoepithelialization of breast implant capsules. Int J Surg Pathol. 1994;1(3):151–4.
Copeland M, Choi M, Bleiweiss IJ. Silicone breakdown and capsular synovial metaplasia in textured-wall saline breast prostheses. Plast Reconstr Surg. 1994;94(5):628–36.
Gonzales JG, Ghiselli RW, Santa Cruz DJ. Synovial metaplasia of the skin. Am J Surg Pathol. 1987;11(5):343–50.
Mazzocchi M, Dessy LA, Carlesimo B, Marchetti F, Scuderi N. Late seroma formation after breast surgery with textured silicone implants: a problem worth bearing in mind. Plast Reconstr Surg. 2010;125(4):176e–7.
Mazzocchi M, Dessy LA, Corrias F, Scuderi N. A clinical study of late seroma in breast implantation surgery. Aesthetic Plast Surg. 2012;36(1):97–104.
Garcia-Corbeira P, Ramos JM, Aguado JM, Soriano F. Six cases in which mesenteric lymphadenitis due to nontyphi Salmonella caused an appendicitis-like syndrome. Clin Infect Dis. 1995;21(1):231–2.
Lee JH, Rhea PL, Lee JK, Lee KT, Son HJ, Kim JJ, Koh KC, Paik SW, Lee WJ, Lim HK, Rhee JC. The etiology and clinical characteristics of mesenteric adenitis in Korean adults. J Korean Med Sci. 1997;12(2):105–10.
Mugea TT. Pericapsular lymphangitis and acute seroma syndrome on augmented breast. Societa Italiana di Chirurgia Plastica Ricostruttiva es Estetica Congress, 27–30 Sept 2011, Milano.
Mugea T, Ciurea A, Fetica B. Pericapsular lymphangitis and acute seroma syndrome on augmented breast – new clinical entity. IQUAM conference, 1–3 Nov 2012, Athena.
Femicur. http://www.schaper-bruemmer.com/en/produkte/femicur.php. Accessed 29 Sept 2013.
Raso DS, Green WB, Metcalf JS. Synovial metaplasia of a periprosthetic breast capsule. Arch Pathol Lab Med. 1994;118(3):249–51.
Raso DS, Crymes LW, Metcalf JS. Histological assessment of fifty breast capsules from smooth and textured augmentation and reconstruction mammoplasty prostheses with emphasis on the role of synovial metaplasia. Mod Pathol. 1994;7(3):310–6.
Luke JL, Kalasinsky VF, Turnicky RP, Centeno JA, Johnson FB, Mullick FG. Pathological and biophysical findings associated with silicone breast implants: a study of capsular tissues from 86 cases. Plast Reconstr Surg. 1997;100(6):1558–65.
Artal EM. True synovial metaplasia of a periprosthetic breast capsule. An exceptional response. Rev Esp Patol. 2008;41(4):289–92.
Wyatt LE, Sinow JD, Wollman JS, Sami DA, Miller TA. The influence of time on human breast capsule histology: smooth and textured silicone-surfaced implants. Plast Reconstr Surg. 1998;102(6):1922–31.
Ko CY, Ahn CY, Ko J, Chopra W, Shaw W. Capsular synovial metaplasia as a common response to both textured and smooth implants. Plast Reconst Surg. 1996;97(7):1427–33.
Hsaio HT, Tung KY, Lin CS. Late hematoma after aesthetic breast augmentation with saline-filled, textured silicone prosthesis. Aesthetic Plast Surg. 2002;26(5):368–71.
Mugea T. Soft tissue cover tension and capsule formation. In: Shiffman MA, editor. Breast augmentation: principles and practice. Berlin: Springer; 2009. p. 106–7.
Pinchuk V, Tymofii O. Seroma as a late complication after breast augmentation. Aesthetic Plast Surg. 2011;35(3):303–14.
McArdle B, Layt C. A case of late unilateral hematoma and subsequent late seroma of the breast after bilateral breast augmentation. Aesthetic Plast Surg. 2009;33(4):669–70.
Peter NG, Clark LR, Jaeger JR. Fitz-Hugh-Curtis syndrome: a diagnosis to consider in women with right upper quadrant pain. Cleve Clin J Med. 2004;71(3):233–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Mugea, T.T., Ciurea, A. (2015). Pericapsular Lymphangitis and Acute Seroma Syndrome in Augmented Breast. In: Mugea, T.T., Shiffman, M.A. (eds) Aesthetic Surgery of the Breast. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43407-9_25
Download citation
DOI: https://doi.org/10.1007/978-3-662-43407-9_25
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-43406-2
Online ISBN: 978-3-662-43407-9
eBook Packages: MedicineMedicine (R0)