Case of late hematoma after breast augmentation

Abstract

We present a case report of a patient who experienced a late, spontaneous breast hematoma 26 years after primary breast augmentation. Late hematomas are a rare complication of breast augmentation with uncertain etiology. In this case, there was no trauma, calcifications, or implant rupture. We believe the patient’s hematoma was secondary to erosion of a capsular vessel due to capsular contracture.

An unusual case of late hematoma after implant-based breast reconstruction mimicking an anaplastic large cell lymphoma: a case report and literature review

“…This comparison of late breast hematomas with chronic subdural hematomas was described by Roman [23] in 2005 even. In the past year, 2018, two cases of late hematoma were reported: Kim et al [31] explained its development as a consequence of severe capsular contracture, while Dean et al [32] described a case of silicone extravasation that may have led to chronic lymphocytic granulomatous reaction and a consequent recurrent acute-on-chronic hematoma. Grippaudo et al [3] in 2013 reported a singular case of late hematoma developed 2 years after breast surgery, due to mechanical friction in the space between the two layers of a double capsule.…”

Current Concepts in Capsular Contracture: Pathophysiology, Prevention, and Management

“…Hematoma or increase in residual blood in the pocket represents a powerful medium for bacterial growth and also have been shown to carry a very high concentration of proinflammatory cytokines. 41 This could occur acutely from surgical dissection or in rare cases after erosion of vessels in the capsule. 41,42 Accordingly, clinical observations reveal a link between hematoma and capsular contracture formation.…”

“…41 This could occur acutely from surgical dissection or in rare cases after erosion of vessels in the capsule. 41,42 Accordingly, clinical observations reveal a link between hematoma and capsular contracture formation. 42 Furthermore, seroma and pocket infection likewise increase the risk of capsular contracture via a similar mechanism.…”

Delayed unilateral hematoma after reconstructive and aesthetic breast surgery with implants in Asian patients: two case reports

“…Written informed consent was obtained from all the patients prior A B 6) in 1992, late hematoma development around a breast implant has been described in the literature, which has been observed after reconstructive and aesthetic breast surgery with implants. The delayed post implantation breast hematoma mechanism is not yet well established (7), although previous authors correlated it with direct trauma, clotting disorders, and corticosteroid (8). Capsular contracture, the most common breast implantation complication, has been associated indirectly with late hematoma.…”