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Late Unilateral Hematoma After Breast Reconstruction With Implants
Case Report and Literature Review

Francesca Romana Grippaudo MD, Luca Renzi MD, PhD, Brando Costantino MD, Benedetto Longo MD, PhD, Fabio Santanelli MD, PhD
DOI: http://dx.doi.org/10.1177/1090820X13496249 830-834 First published online: 1 August 2013


Although reports of late hematoma after placement of breast implants are rare, there has been a noticeable increase in these reports in recent years. Various etiologies have been proposed, usually relating to history of trauma, anticoagulant use, or physical strain. In this case report, we describe a 61-year-old patient who slowly developed a unilateral intracapsular hematoma 2 years after breast reconstruction with Biocell (Natrelle; Allergan, Inc, Irvine, California) textured implants. This case is unique because of the intraoperative finding of 2 capsules surrounding the implant, with the hematoma between the 2 layers. We also discuss the possible pathophysiological mechanisms of this phenomenon.

Level of Evidence: 5

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  • late hematoma
  • textured breast implant
  • double capsule
  • breast reconstruction
  • breast surgery
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