False-positive radiographic diagnosis of breast implant rupture because of breast abscess.
A case of a periprosthetic abscess simulating breast implant rupture is presented. Both clinical findings and film-screen mammography suggested extravasation of a radiodense material adjacent to an implant. Ultrasonography was thought to confirm the extraluminal silicone. However, at surgery the mass was found to be a breast abscess that had herniated through the capsule. The double-lumen implant outer saline-filled chamber had deflated, but the silicone-containing inner chamber was intact. Magnetic resonance imaging would have distinguished between abscess and silicone.
Sanger
J R
JR
Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee 53226, USA.
Sinha
R
R
Walker
A P
AP
D000038:Abscess / Q000175:diagnosis*; D000328:Adult; D001941:Breast Diseases / Q000175:diagnosis*; D018427:Breast Implants; D005260:Female; D006801:Humans; D012421:Rupture