md-medicaldata

Authors

 

Goran Đenadić

Služba za patološko-anatomsku dijagnostiku, Opšta bolnica “Dr Laza K. Lazarević”, Šabac, Srbija

 

UDK: 617.5-089.844-06
618.19-002.4

The paper was received / Rad primljen: 01.03.2023

Accepted / Rad prihvaćen: 21.03.2023.

 

Correspondence to:

Dr sci. med. Goran Đenadić,
patolog i citolog
Služba za patologiju
Opšta bolnica Šabac
Popa Karana 4
15000 Šabac
e-mail: gorandjenadic@gmail.com

 

 

Sažetak

 

 

Uvod Komplikacije kod postavljanja implantata za estetsko uvećanje dojki mogu biti lokalne i opšte, u vidu fibroze, infekcije, indukcije autoimunih bolesti, kao i neoplastične. Prikazujemo redak slučaj bilateralne gangrene dojki nakon ugradnje silikonskih implanata neobičan po težini komplikacija. Prikaz slučaja Pacijentkinja stara 62 godine na svoj zahtev podvrgnuta je ugradnji silikonskih implantata radi povećanja dojki. Na prvom pregledu hirurg je konstatovao da se ispod desne bradavice nalazi bolna tumorska promena promera 10 mm, sa krvavim iscetkom iz dojke. Tada je urađen i ultrazvučni pregled dojki i postavljena suspektna dijagnoza fibroadenoma. Odlučeno je da se u jednom aktu uradi i operacija fibroadenoma i postavljanje implanata u obe dojke. Primenjena je lokalna antiseptična terapija sa previjanjem dojki, ali tokom naredna tri dana razvila se opsežna gangrena obe dojke promera oko 7 cm. Kako je procenjeno da je pacijentkinja vitalno ugrožena, primenjena je radikalna mastektomija. Zaključak Potrebno je strogo postavljati indikacije i kontraindikacije kod operacija estetskog povećanja dojki prime

 

Ključne reči:

Gangrena dojki, silikonski implanti, prikaz slučaja.

 

 

 

Abstract

 

Introduction Complications when placing implants for aesthetic breast augmentation can be local and general, in the form of fibrosis, infection, induction of autoimmune diseases, as well as neoplastic. We present a rare case of bilateral breast gangrene after the placement of silicone implants, unusual in the severity of complications. Case presentation A 62-year-old patient underwent silicone implants at her request for breast augmentation. At the first examination, the surgeon noted that under the right nipple there is a painful tumor change with a diameter of 10 mm, with a bloody discharge from the breast. An ultrasound examination of the breasts was then performed and a suspected diagnosis of fibroadenoma was made. It was decided to perform both fibroadenoma surgery and implant placement in both breasts in one act. Local antiseptic therapy with breast dressings was applied, but over the next three days, extensive gangrene of both breasts, approximately 7 cm in diameter, developed. As it was estimated that the patient’s life was at risk, a radical mastectomy was performed. Conclusion It is necessary to strictly set indications and contraindications for aesthetic breast augmentation operations using silicone implants.

 

Key words:

Breasts gangrene, silicone implants, case report

 

 

 

 

References:

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PDF: 07-Đenadić G. MD-Medical Data 2023;15(1-2) 035-037.pdf