Copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2019; 7(20): 3322-3328
Published online Oct 26, 2019. doi: 10.12998/wjcc.v7.i20.3322
Published online Oct 26, 2019. doi: 10.12998/wjcc.v7.i20.3322
Repeated lumps and infections: A case report on breast augmentation complications
Ming-Xuan Zhang, Shi-Yan Li, Li-Long Xu, Bo-Wen Zhao, Department of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw Hospital, Zhejiang University College of Medicine, Hangzhou 310016, Zhejiang Province, China
Xiao-Yan Cai, General Surgical Department, Sir Run Run Shaw Hospital, Zhejiang University College of Medicine, Hangzhou 310016, Zhejiang Province, China
Guang-Lan Wang, Pathology Department, Sir Run Run Shaw Hospital, Zhejiang University College of Medicine, Hangzhou 310016, Zhejiang Province, China
Author contributions: Zhang MX reviewed the literature and contributed to manuscript drafting; Xu LL and Zhao BW were responsible for the revision of the manuscript for important intellectual content; Li SY was the patient’s sonographer and reviewed the literature; Cai XY was the patient’s surgeon and contributed to the manuscript drafting; Wang GL presented the patient’s pathology picture and interpreted the imaging findings. All authors issued final approval for the version to be submitted.
Supported by Zhejiang Provincial Medical and Health Platform Project , No. 2018275889 .
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Li-Long Xu, MD, Attending Doctor, Department of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw Hospital, Zhejiang University College of Medicine, No. 3, East Qingchun Road, Hangzhou 310016, Zhejiang Province, China. 3406047@zju.edu.cn
Telephone: +86-0571-86006331 Fax: +86-0571-86006331
Received: May 5, 2019
Peer-review started: May 5, 2019
First decision: September 9, 2019
Revised: September 22, 2019
Accepted: September 25, 2019
Article in press: September 25, 2019
Published online: October 26, 2019
Processing time: 174 Days and 14.3 Hours
Peer-review started: May 5, 2019
First decision: September 9, 2019
Revised: September 22, 2019
Accepted: September 25, 2019
Article in press: September 25, 2019
Published online: October 26, 2019
Processing time: 174 Days and 14.3 Hours
Core Tip
Core tip: Among the complications of PAAG injections, distant migration is relatively rare. Symptoms at presentation depend on the course and sometimes may be misdiagnosed. Here, we present a rare case of a patient who repeatedly presented with lumps and infections, without bacterial contamination or an obvious histopathologic explanation. This case shows that PAAG gel can migrate after long periods of time, and debridement surgery may be necessary even without symptoms. It took four months to make an accurate diagnosis since the patient did not disclose her history, which serves as a reminder not to limit our diagnostic ideas to the symptomatic area.