ISSN: 2639-2127
Authors: Farah Hussein Ali Al-Abbas* and Ali Khalid Mohammed Almoula
This case report describes a healthy 39-year-old woman who presented with bilateral breast pain and enlargement after receiving silicone injections to her breasts 15 years ago. A mammogram showed dense breast tissue with focal asymmetries in both breasts. MRI revealed bilateral breast implants well-circumscribed yet irregular contour, it displayed diffuse outline signal alteration and showed multiple variable sized internal well-circumscribed cystic lesions displaying intermediate to hyper-intense signal intensity on T1 weighted images, intermediate to hypo-intense signal intensity on T2 weighted images and were suppressed on fat saturated pulse sequences, mostly lipophilic/oil cysts. Histologic examination revealed vacuolated histiocytes and innumerable cystic spaces containing material consistent with silicone. The patient underwent bilateral inferior pedicle mammoplasty with the removal of all the silicone and masses in both breasts. The case emphasizes the possibility of severe complications arising several years after the administration of free silicone injections, along with different approach to surgically managing these complications.
Keywords: Silicone Injections; Chronic Pain; Fibrotic; Pedicle Mammoplasty
