Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Late Hematoma after Breast Augmentation Surgery: A Case Report

유방 확대 수술 후 발생한 후기 혈종: 증례 보고

  • Yie, Mi-Yeon (Department of Radiology, Hallym University College of Medicine) ;
  • Yoon, Hoi-Soo (Department of Radiology, Hallym University College of Medicine) ;
  • Moon, Jin-Hee (Department of Radiology, Hallym University College of Medicine) ;
  • Koh, Sung-Hye (Department of Radiology, Hallym University College of Medicine) ;
  • Lee, Yul (Department of Radiology, Hallym University College of Medicine)
  • 이미연 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 윤회수 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 문진희 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 고성혜 (한림대학교 의과대학 성심병원 영상의학과) ;
  • 이열 (한림대학교 의과대학 성심병원 영상의학과)
  • Received : 2009.08.16
  • Accepted : 2010.02.26
  • Published : 2010.06.01
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Abstract

Hematoma is a common complication that occurs usually during the early postoperative period of breast surgery. A late hematoma is, however, an extremely rare complication following breast augmentation surgery. We report a case of late hematoma triggered by excessive squeezing during sexual activity 2 years after breast augmentation. Ultrasound (US) showed a large, well-circumscribed heterogeneous lesion, partially surrounding the silicone prosthesis. Computed tomography (CT) revealed a huge hematoma around the prosthesis in the left breast associated with active bleeding from the internal mammary artery (IMA).

혈종은 유방 수술 후 나타날 수 있는 흔한 초기 합병증의 하나이다. 하지만, 유방 확대 수술 후에 나타나는 후기 혈종은 극히 드문 합병증이다. 이에 본 저자들은 유방 확대 수술 시행 2년 후, 성행위 도중의 과도한 압박에 의해 발생한 후기 혈종의 예를 보았기에 보고하고자 한다. 초음파 검사에서 보형물 주위의 경계가 좋은 불균질한 에코를 지닌 병변이 나타났으며, 컴퓨터단층촬영술에서는 내흉동맥의 출혈로 인해 왼쪽 유방의 보형물 주위로 큰 혈종이 형성된 소견을 보였다.

Keywords

References

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