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Pericarditis After Breast Implant Rupture: A Case Report
Clemence Bretaudeau1, Charlotte Vaysse2,3, Paul Guerby1
1Department of Gynaecology Surgery, CHU Paule de Viguier, Toulouse, France.
Cardiology Research
|January 11, 2019
Summary
Ruptured breast implants can cause systemic illness. This case details myopericarditis, inflammation of the heart muscle and surrounding sac, linked to a ruptured implant and silicone granuloma formation.
Area of Science:
- Plastic Surgery
- Cardiology
- Rheumatology
Background:
- Breast implants are common for augmentation, but rupture can lead to complications.
- Silicone granulomas and systemic disease are known risks of implant rupture.
- Myopericarditis has diverse etiologies, often requiring extensive investigation.
Observation:
- A 39-year-old female presented with myopericarditis potentially linked to breast implants.
- Imaging revealed a ruptured breast implant with capsular intrusion and silicone granuloma.
- Inflammation of the pericardium was noted in direct contact with the granuloma.
Findings:
- The patient's myopericarditis was attributed to the ruptured breast implant.
- Surgical removal of the implant led to short-term clinical and radiological improvement.
- Literature supports a hypothesis of autoimmune/inflammatory syndrome induced by adjuvants.
Implications:
- This case highlights a rare but serious complication of breast implants: myopericarditis.
- It underscores the importance of considering implant integrity in unexplained inflammatory conditions.
- Further research may elucidate the link between silicone adjuvants and systemic inflammatory syndromes.
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