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Related Experiment Videos

[Local and long-term systemic risks of silicone breast implants]

L Marpeau1, Z Rhimi, T Jault

  • 1Service de Gynécologie-Obstétrique, Hôpital Saint-Antoine, Paris.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|January 1, 1993
PubMed
Summary

This case study highlights severe complications from long-term bilateral breast implants, leading to siliconomas and requiring mastectomy. Disseminated intravascular coagulation complicated the surgical procedure.

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Oncology

Background:

  • Breast implants are common cosmetic and reconstructive devices.
  • Long-term complications can arise years after implantation.
  • Siliconomas represent a potential sequela of silicone-based implants.

Observation:

  • A 59-year-old woman presented with bilateral breast hardening, inflammation, and ulceration.
  • These symptoms were clinically suggestive of bilateral siliconomas.
  • The patient had a history of bilateral breast implants placed 20 years prior.

Findings:

  • Bilateral mastectomy was performed due to suspected siliconomas.
  • The first stage of the bilateral mastectomy was complicated by disseminated intravascular coagulation.

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  • The procedure was completed in two stages due to the coagulopathy.

    • Implications:

    • This case underscores the importance of long-term monitoring for patients with breast implants.
    • Siliconomas can lead to significant morbidity requiring extensive surgical intervention.
    • Disseminated intravascular coagulation is a rare but serious complication that can occur during major surgery, even in patients without known risk factors.