Alveolar Hemorrhage after Polyacrylamide Injection for Breast Augmentation.
10.3904/kjm.2015.88.4.438
- Author:
Jun Hyeok LIM
1
;
Jeong Min LEE
;
Seong Huan CHOI
;
Hae Seong NAM
;
Jae Hwa CHO
;
Jeong Seon RYU
;
Seung Min KWAK
Author Information
1. Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. smkwak@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Polyacrylamide;
Mammaplasty;
Lung;
Hemorrhage
- MeSH:
Breast*;
Bronchoalveolar Lavage;
Bronchoscopy;
Chills;
Dyspnea;
Female;
Fever;
Hemorrhage*;
Humans;
Hydrogel;
Lung;
Mammaplasty;
Middle Aged;
Pulmonary Embolism;
Respiratory Distress Syndrome, Adult;
Silicones;
Surgery, Plastic;
Thorax
- From:Korean Journal of Medicine
2015;88(4):438-441
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Polyacrylamide hydrogel is used widely in plastic surgery due to its nontoxic, nonabsorbent nature. There have been reports of silicone leading to pulmonary embolism and acute respiratory distress syndrome with systemic adverse effects. However, there have been case reports only of local reactions involving polyacrylamide; systemic reactions appear to be rare. Furthermore, there has been no report of alveolar hemorrhage after polyacrylamide injection for breast augmentation. We treated a 53-year-old female with an alveolar hemorrhage that occurred 2 days after a polyacrylamide injection. On the day of admission, the patient had a fever with chills and dyspnea. The chest X-ray showed multiple infiltrations and chest computed tomography showed consolidation and a ground-glass appearance in both lung fields. The alveolar hemorrhage was confirmed at fiber-optic bronchoscopy and bronchoalveolar lavage. The symptoms and radiology findings improved after corticosteroid administration and conservative treatment. We report the first case of alveolar hemorrhage after a polyacrylamide injection for breast augmentation.
