Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature.

Arch Plast Surg

Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.

Published: September 2023

AI Article Synopsis

  • This text discusses a case of infective costochondritis which developed after silicone breast implant surgery, highlighting its rarity and diagnostic challenges.* -
  • A 36-year-old woman experienced persistent symptoms like redness and pain around her chest after her breast implants were removed, leading to an MRI that revealed abscess formation around a rib.* -
  • After an initial surgery to remove the infected tissue, the patient later received chest wall reconstruction, emphasizing the importance of early surgical intervention for such infections to improve recovery and quality of life.*

Article Abstract

Silicone breast implant insertion is a commonly performed surgical procedure for breast augmentation or reconstruction. Among various postoperative complications, infection is one of the main causes of patient readmission and may ultimately require explantation. We report a case of infective costochondritis after augmentation mammoplasty, which has rarely been reported and is therefore difficult to diagnose. A 36-year-old female visited the clinic for persistent redness, pain, and purulent discharge around the left anteromedial chest, even after breast implant explantation. Magnetic resonance imaging showed abscess formation encircling the left fourth rib and intracartilaginous and bone marrow signal alteration at the left body of the sternum and left fourth rib. En bloc resection of partial rib and adjacent sternum were done and biopsy results confirmed infective costochondritis. Ten months postoperatively, the patient underwent chest wall reconstruction with an artificial bone graft and acellular dermal matrix. As shown in this case, early and aggressive surgical debridement of the infected costal cartilage and sternum should be performed for infective costochondritis. Furthermore, delayed chest wall reconstruction could significantly contribute to the quality of life.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556329PMC
http://dx.doi.org/10.1055/a-2088-2829DOI Listing

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Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature.

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September 2023

Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.

Article Synopsis
  • This text discusses a case of infective costochondritis which developed after silicone breast implant surgery, highlighting its rarity and diagnostic challenges.* -
  • A 36-year-old woman experienced persistent symptoms like redness and pain around her chest after her breast implants were removed, leading to an MRI that revealed abscess formation around a rib.* -
  • After an initial surgery to remove the infected tissue, the patient later received chest wall reconstruction, emphasizing the importance of early surgical intervention for such infections to improve recovery and quality of life.*
View Article and Find Full Text PDF

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