title: Bilateral poly implant prothèse implant rupture: an uncommon presentation.
abstract: A woman in her 50s underwent delayed bilateral Poly Implant Prothèse implant reconstruction following mastectomy for breast cancer. Symptoms of implant rupture developed 43 months after surgery with an erythematous rash on her trunk. The rash then spread to her reconstructed breast mounds. Initial ultrasound scan and magnetic resonance imaging were normal; however, subsequent magnetic resonance imaging demonstrated left implant rupture only. In theater, following removal of both implants, both were found to be ruptured. The rash on her trunk resolved within 3 weeks in the postoperative period. Chemical analyses of silicone in both implants confirmed a nonauthorized silicone source; in addition, the chemical structure was significantly different between the left and right implant, perhaps explaining the variation in presentation.
authors.affiliation: Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
authors.forename: Peter
authors.initials: P
authors.lastname: Mallon
authors.affiliation: Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
authors.forename: François
authors.initials: F
authors.lastname: Ganachaud
authors.affiliation: Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Malhaire
authors.affiliation: Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
authors.forename: Raphael
authors.initials: R
authors.lastname: Brunel
authors.affiliation: Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
authors.forename: Brigitte
authors.initials: B
authors.lastname: Sigal-Zafrani
authors.affiliation: Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
authors.forename: Jean-Guillaume
authors.initials: JG
authors.lastname: Feron
authors.affiliation: Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Couturaud
authors.affiliation: Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
authors.forename: Alfred
authors.initials: A
authors.lastname: Fitoussi
authors.affiliation: Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
authors.forename: Fabien
authors.initials: F
authors.lastname: Reyal