2007
DOI: 10.1590/s0034-70942007000400010
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Enfisema subcutâneo durante inclusão de prótese mamária: relato de caso

Abstract: JUSTIFICATIVA E OBJETIVOS:A ocorrência de enfisema subcutâneo na parede torácica durante procedimento cirúrgico onde se realizou infiltração de anestésico pode sugerir a presença de pneumotórax e suas possíveis complicações. A ocorrência de pneumotórax durante mamoplastia de aumento já foi descrita. Contudo, não foram encontrados na literatura pesquisada, relatos de presença isolada de enfisema subcutâneo nesse tipo de procedimento. O objetivo deste relato foi ressaltar a importância de adequada monitoração do… Show more

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Cited by 4 publications
(6 citation statements)
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“…The cases of pneumomastia that have been previously described [1,2,3,4,5] have mostly been due to a transient, iatrogenic cause such as direct instrumentation of the breast during surgery, mechanical ventilation, thoracic surgery, or spread of emphysema from laparoscopic insufflation, in the absence of an underlying continuous driving pathology (necrotising infection [6], oesophageal perforation, and pneumothorax can also cause pneumomastia, but usually cause abnormalities on examination). In this case there was a bronchopleural fistula which would have provided a continuous source of air to fill the breast.…”
Section: Discussionmentioning
confidence: 99%
“…The cases of pneumomastia that have been previously described [1,2,3,4,5] have mostly been due to a transient, iatrogenic cause such as direct instrumentation of the breast during surgery, mechanical ventilation, thoracic surgery, or spread of emphysema from laparoscopic insufflation, in the absence of an underlying continuous driving pathology (necrotising infection [6], oesophageal perforation, and pneumothorax can also cause pneumomastia, but usually cause abnormalities on examination). In this case there was a bronchopleural fistula which would have provided a continuous source of air to fill the breast.…”
Section: Discussionmentioning
confidence: 99%
“…A mastoplastia de aumento tem se tornado muito comum devido a grande procura pelas pacientes, motivadas, talvez, por uma mudança cultural em relação ao tamanho das mamas, associada à pressão por parte da mídia [1][2][3][4][5][6][7][8] .…”
Section: Discussionunclassified
“…A cirurgia plástica de aumento mamário tem se tornado cada vez mais frequente tanto no nosso meio quanto em outros países, estimulada pela grande divulgação efetuada pela mídia leiga e por mudança de fatores culturais que valorizam maior volume das mamas como sendo padrão de beleza [1][2][3][4][5][6][7][8] .…”
Section: Introductionunclassified
“…The normal radiographic appearance of the breast tissue on a CT scan can reveal varying densities, such as entirely fatty, scattered areas of fibroglandular density, heterogeneously dense and extremely dense as per the updated fifth version of the Breast Imaging Reporting and Data System (BI-RADS) glossary [2]. Air in the breast tissue is a rare finding on imaging and has been occasionally seen after procedures on the breast, such as breast augmentation [3]. Anaerobic infection such as gangrene of the breast is another cause of air in the breast and would commonly be associated with constitutional signs of infection [4].…”
Section: Introductionmentioning
confidence: 99%