Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
권호 표지
DOI QR코드

DOI QR Code

Chest Wall Lipogranuloma after Hydrogel Implant Rupture: Case Report

  • Park, So Yoon (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Han, Boo-Kyung (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Cho, Eun Yoon (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Bang, Sa-Ik (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2015.06.16
  • Accepted : 2015.06.23
  • Published : 2015.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

We present a 53-year-old woman with a large chest wall mass in the interpectoral space, which was eventually confirmed as a lipogranuloma resulting from hydrogel implant rupture. Ultrasonography (US) showed reduced implant volume with surrounding peri-implant fluid collection, suggesting the possibility of implant rupture. A heterogeneously hypoechoic mass was found between the pectoralis major and minor muscles adjacent to the ruptured implant. On magnetic resonance imaging (MRI), there was a large mass in the left interpectoral space of the upper inner chest wall. The mass showed slightly high signal intensity (SI) on pre-contrast T1-weighted image (WI) with mixed iso and high SI on T2-WI. The signal of the mass was suppressed using the water suppression technique but not with the fat suppression technique on T2-WI. The mass showed diffuse enhancement upon contrast enhancement. The enhancing kinetics showed persistent enhancement pattern. US-guided core needle biopsy revealed a lipogranuloma and removal confirmed a ruptured PIP hydrogel implant.

Keywords

References

  1. Lee CJ, Park JH, Park IS, Lee SI. A case report of prefilled polysaccharide hydrogel breast implant rupture: clinical, MRI, and pathologic findings. Aesthetic Plast Surg 2004;28:401-404 https://doi.org/10.1007/s00266-004-0027-3
  2. Choi JJ, Lee JH, Kang BJ, et al. Clinical and imaging characteristics of Polyimplant Prosthesis hydrogel breast implants. J Comput Assist Tomogr 2010;34:449-455 https://doi.org/10.1097/RCT.0b013e3181d0c751
  3. Adams TS, Crook T, Cadier MA. A late complication following the insertion of hydrogel breast implants. J Plast Reconstr Aesthet Surg 2007;60:210-212 https://doi.org/10.1016/j.bjps.2006.01.012
  4. O'Neill JK, Rigby H, Kenealy JM. Leakage and osmotic shifts in PIP Hydrogel implants. A case demonstrating increase and decrease of implant volume in the same patient. J Plast Reconstr Aesthet Surg 2008;61:1122-1123 https://doi.org/10.1016/j.bjps.2008.05.008
  5. Lee HH, Park SH, Choi HY, Park HK. Lipogranuloma with osseous metaplasia in the breast that developed after "Bu-Hwang" oriental medicine treatment. Yonsei Med J 2011;52:373-376 https://doi.org/10.3349/ymj.2011.52.2.373
  6. Yang BT, Liu YJ, Wang YZ, Wang XY, Wang ZC. CT and MR imaging findings of periorbital lipogranuloma developing after endoscopic sinus surgery. AJNR Am J Neuroradiol 2012;33:2140-2143 https://doi.org/10.3174/ajnr.A3182
  7. Motoori K, Takano H, Ueda T, Ishihara M. Sclerosing lipogranuloma of male genitalia: CT and MR images. J Comput Assist Tomogr 2002;26:138-140 https://doi.org/10.1097/00004728-200201000-00023
  8. Hyakusoku H, Ogawa R, Ono S, Ishii N, Hirakawa K. Complications after autologous fat injection to the breast. Plast Reconstr Surg 2009;123:360-370; discussion 371-372 https://doi.org/10.1097/PRS.0b013e31819347ba
  9. Veber M, Tourasse C, Toussoun G, Moutran M, Mojallal A, Delay E. Radiographic findings after breast augmentation by autologous fat transfer. Plast Reconstr Surg 2011;127:1289-1299 https://doi.org/10.1097/PRS.0b013e318205f38f
  10. Kim H, Yang EJ, Bang SI. Bilateral liponecrotic pseudocysts after breast augmentation by fat injection: a case report. Aesthetic Plast Surg 2012;36:359-362 https://doi.org/10.1007/s00266-011-9790-0

Cited by

  1. Soft Materials by Design: Unconventional Polymer Networks Give Extreme Properties vol.121, pp.8, 2021, https://doi.org/10.1021/acs.chemrev.0c01088