Abstract
Delayed hematoma associated with breast implants, whether for reconstructive or aesthetic purposes, is a rare entity. Most reported cases have been intracapsular. Although several mechanisms for delayed hematoma have been proposed, its exact etiology and mechanism of formation are not yet fully understood. The authors present a unique case of hematoma formation 5 years after breast reconstruction with a textured anatomic cohesive gel breast implant. The patient experienced severe thrombocytopenia secondary to chemotherapy, which most probably was the triggering etiologic factor. The hematoma was both intra- and extracapsular. The authors speculate that the retrocapsular hematoma component was due to firm adhesion of the textured prosthetic membrane to the posterior capsule and propose that for breast reconstruction with prosthetic implants in patients likely to receive chemotherapy, a smooth implant might be better indicated.
References
Daw JL, Lewis VL, Smith JW (1996) Chronic expanding hematoma within a periprosthetic breast capsule. Plast Reconstr Surg 97:1469
Georgiade NG, Serafin D, Barwick W (1979) Late development of hematoma around a breast implant, necessitating removal. Plast Reconstr Surg 64:708
Marques AF, Brenda E, Salvida PHN, Andrews JM (1992) Capsular hematoma as a late complication in breast reconstruction with silicone gel prostheses. Plast Reconstr Surg 89:543
Wang BH, Chang BW, Sargeant R, Manson PN (1998) Late capsular hematoma after breast reconstruction with polyurethane-covered implants. Plast Reconstr Surg 102:450
Hsiao H-T, Tung K-Y, Lin C-S (2002) Late hematoma after aesthetic breast augmentation with saline-filled textured silicone prosthesis. Aesthetic Plast Surg 26:368–371
Willens HJ, Wald H, Kessler KM (1996) Late intracapsular hemorrhage in an anticoagulated patient with a breast implant. Chest 110:304–305
Goyal A, Mansel RE (2003) Haematoma as a late complication after breast reconstruction with implant. Br J Plast Surg 56:189–191
Cederna JP (1995) Hematoma as a late complication in breast reconstruction with silicone gel prostheses. Plast Reconstr Surg 96:235
Gorgu M, Aslan G, Tuncel A, Erdogan B (1999) Late and long-standing capsular hematoma after aesthetic breast augmentation with a saline-filled silicone prosthesis: a case report. Aesthetic Plast Surg 23:443–444
Brickman M, Parsa NN, Parsa FD (2004) Late hematoma after breast implantation. Aesthetic Plast Surg 28:80–82
Labadie EL, Glover D (1976) Physiopathogenesis of subdural hematomas. Part 1. Histological and biochemical comparisons of subcutaneous hematoma in rats with subdural hematoma in man. J Neurosurg 45:382
Adegbite AB, Paini KWE, Rozdilski B (1983) The role of neomembranes in formation of hematoma around silastic dura substitute: case report. J Neurosurg 58:295
Picha GJ, Goldstein JA, Stohr E (1990) Natural-Y Même polyurethane versus smooth silicone: analysis of the soft-tissue interaction from 3 days to 1 year in the rat animal model. Plast Reconstr Surg 85:903
Shafir R, Heyman Z, Tsur H, Itzchak Y (1983) Ultrasound scanning as an aid in the diagnosis and treatment of periprosthetic hematoma after breast surgery. Plast Reconstr Surg 71:858
Frankel SD, Occhipinti KA, Kaufman L, Hunt TK, Kerley SM (1994) MRI of a silicone breast implant surrounded by an enlarging hemorrhagic collection. Plast Reconstr Surg 94:865
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ibrahim, A.E., Atiyeh, B.S. Management of Delayed Capsular Hematoma After Breast Reconstruction. Aesth Plast Surg 35, 923–927 (2011). https://doi.org/10.1007/s00266-011-9685-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-011-9685-0