J Korean Soc Radiol.  2010 Jun;62(6):593-596.

Late Hematoma after Breast Augmentation Surgery: A Case Report

• Yie M
• Yoon HS
• Moon JH
• Koh SH
• Lee Y

Abstract

Hematoma is a common complication that occurs usually during the early postoperative period of breast surgery. A late hematoma is, however, an extremely rare complication following breast augmentation surgery. We report a case of late hematoma triggered by excessive squeezing during sexual activity 2 years after breast augmentation. Ultrasound (US) showed a large, well-circumscribed heterogeneous lesion, partially surrounding the silicone prosthesis. Computed tomography (CT) revealed a huge hematoma around the prosthesis in the left breast associated with active bleeding from the internal mammary artery (IMA).

MeSH Terms

Breast
Breast Implantation
Hematoma
Hemorrhage
Mammary Arteries
Postoperative Period
Prostheses and Implants
Sexual Behavior
Silicones
Silicones

Figure

• 

  Fig. 1 A 35-year-old woman with a hematoma in the left breast, which occurred two years after bilateral breast augmentation surgery A. An US scan shows a large, well-circumscribed lesion with heterogenic echogenecity in the lower outer quadrant of the left breast (arrows). The silicone prosthesis (asterisk) is partially surrounded by the large heterogenous lesion. B. Color Doppler sonography shows no trace of blood flow at the large heterogeneous echoic lesion. C. Non contrast CT scan reveals a large hematoma (arrows) around the left silicone prosthesis (asterisk). The normal glandular tissue of the breast is displaced anteriorly (arrowheads). D. Enhanced CT scan shows an extravasation of contrast material (arrowheads) at the inner portion of the hematoma.

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