An uncommon complication of secondary augmentation mammoplasty:: Bilaterally massive engorgement of breasts after pregnancy attributable to postinfection and blockage of mammary ducts
An uncommon complication of secondary augmentation mammoplasty:: Bilaterally massive engorgement of breasts after pregnancy attributable to postinfection and blockage of mammary ducts
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DOI：
10.1007/s00266-005-1093-x
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发表时间：
2005-07-01
影响因子：
2.4
通讯作者：
Tuncer, I
中科院分区：
文献类型：
--
作者：
Acartürk, S;Gencel, E;Tuncer, I
隆乳术是最常见的美容手术之一。在患者经历荷尔蒙影响时，隆乳术后溢乳和乳突形成是很少见的。原因尚不清楚。然而，在一些患者中，隆乳术后乳腺导管的纤维化和阻塞可能是形成这种情况的一个原因。在报告的病例中，患者描述了怀孕最后一个月期间双侧乳房疼痛的大量充血和分娩后无法母乳喂养。在她的病史中，她曾接受过半环乳晕经腺入路隆胸手术。她在术后早期经历了一次感染，需要取出两个假体。在第一次手术后一年，第二次隆乳手术是通过同一切口进行的。她对第二次隆乳的结果很满意，直到她第三次怀孕，当时她报告说，她在分娩后无法母乳喂养。在我们的检查中，确定有大量疼痛的乳房充血、充血和双侧乳房发炎，可归因于双侧乳突形成。她拒绝服用任何药物(溴隐亭)，但批准了抗生素治疗。患者对抗生素有反应，因此假体留在了适当的位置，没有进一步的并发症。
Augmentation mammoplasty is one of the most frequently performed aesthetic operations. Galactorrhea and galactocele formation after augmentation mammoplasty, while the patient is experiencing the hormonal effects, is rarely seen. The cause remains unknown. However, postoperative fibrosis and blockage of the mammary ducts after augmentation mammoplasty is a probable cause of this formation in some patients. In the reported case, the patient described painful massive engorgement of both breasts during the last month of pregnancy and inability to breast-feed after delivery. In her history, she had undergone breast augmentation via the semicircular periareolar transglandular approach. She had experienced an infection at an early stage of her postoperative period and had needed to have both prostheses removed. A second breast augmentation mammoplasty was performed I year after the first operation via the same incision. She was content with the result of her second augmentation mammoplasty, up until her third pregnancy, at which time she reported inability to breast-feed after her delivery. At our examination, it was determined that there was massive painful breast engorgement, hyperemia, and inflammation of both breasts attributable to a bilateral galactocele formation. She refused to take any medication (bromocriptine), but approved antibiotic treatment. The patient responded to the antibiotics, and the prostheses therefore were left in place without further complications.