title: Management of delayed capsular hematoma after breast reconstruction.
abstract: Delayed hematoma associated with breast implants, whether for reconstructive or aesthetic purposes, is a rare entity. Most reported cases have been intracapsular. Although several mechanisms for delayed hematoma have been proposed, its exact etiology and mechanism of formation are not yet fully understood. The authors present a unique case of hematoma formation 5 years after breast reconstruction with a textured anatomic cohesive gel breast implant. The patient experienced severe thrombocytopenia secondary to chemotherapy, which most probably was the triggering etiologic factor. The hematoma was both intra- and extracapsular. The authors speculate that the retrocapsular hematoma component was due to firm adhesion of the textured prosthetic membrane to the posterior capsule and propose that for breast reconstruction with prosthetic implants in patients likely to receive chemotherapy, a smooth implant might be better indicated.
authors.affiliation: Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, American University of Beirut Medical Center, P.O. Box 11-0236, 4th Floor, Phase I, Room C-456, Riad El Solh, Beirut, 1107 2020, Lebanon. album78@hotmail.com
authors.forename: Amir E
authors.initials: AE
authors.lastname: Ibrahim
authors.forename: Bishara S
authors.initials: BS
authors.lastname: Atiyeh
mesh_terms: D000328:Adult; D001941:Breast Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D018427:Breast Implants; D001943:Breast Neoplasms / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D016462:Mammaplasty / Q000009:adverse effects* / Q000379:methods; D008408:Mastectomy / Q000379:methods; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology