title: A Rare Complication Following Breast Implant Surgery: Capsular Contracture with a Cutaneous Silicone Fistula after Breast Reconstruction with Silicone Gel Implants.
abstract: SUMMARY: BACKGROUND: We report the case of a 74-year-old female patient who presented at the Breast Care Centre with watery discharge from a fistula in the inframammary fold of the left breast. CASE REPORT: The patient initially presented with watery discharge coming from the fistula, which later took on a more viscous consistency. She reported mild discomfort as well as mild erythema. Clinical examination and diagnostic approaches including magnetic resonance imaging (MRI) revealed a cutaneous silicone fistula as a rare complication following breast implant reconstruction. The condition was treated with excision of the fistula and bilateral implant removal. CONCLUSIONS: This case report documents a rare complication following breast reconstruction with implants, and is to our knowledge the first described MRI-detected cutaneous silicone fistula.
authors.affiliation: Division of Plastic and Aesthetic Surgery, University Hospital Bonn, Germany.
authors.forename: Klaus-Jürgen
authors.initials: KJ
authors.lastname: Walgenbach
authors.forename: Christiane
authors.initials: C
authors.lastname: Kuhl
authors.forename: Christian
authors.initials: C
authors.lastname: Rudlowski
authors.forename: Martin
authors.initials: M
authors.lastname: Poelcher
authors.forename: Axel
authors.initials: A
authors.lastname: Sauerwald
authors.forename: Gisela
authors.initials: G
authors.lastname: Walgenbach-Brünagel
authors.forename: Walther
authors.initials: W
authors.lastname: Kuhn
authors.forename: Michael
authors.initials: M
authors.lastname: Braun