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Year : 2017  |  Volume : 50  |  Issue : 2  |  Page : 77-80

Unusual presentation of a late complication in a polyacrylamide gel-injected breast

1 Department of Diagnostic Radiology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
2 Department of General Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
3 Department of Plastic Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
4 Department of General Surgery, Lohas Clinic, Taipei, Taiwan

Correspondence Address:
Chun-Hung Ko
Department of General Surgery, Lohas Clinic, No. 12, Shida Road, Da'an District, Taipei City 106
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fjs.fjs_24_17

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Implant migration is a known complication of hydrophilic polyacrylamide gel (PAAG) mammoplasty. We report the case of a female patient with an undisclosed history of bilateral breast augmentation with PAAG injections 10 years ago. The patient presented with abdominal pain and rapid gel migration into the abdominal and pelvic walls after sneezing. Computed tomography and sonography were performed, but the results were inconclusive. The diagnosis of PAAG migration was not made until the patient complained of progressive shrinkage of her right breast and disclosed the history of PAAG mammoplasty. A subsequent magnetic resonance imaging study confirmed the diagnosis. Gel migration was successfully treated using endoscopic lavage and breast debridement. Familiarity with the radiological features of PAAG migration and a thorough examination of the patient's history are mandatory for the accurate diagnosis of this complication.

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