A case of chronic nonspecific inflammation of the entire abdominal wall and perineum secondary to polyacrylamide gel breast augmentation
10.3760/cma.j.cn114453-20250624-00161
- VernacularTitle:聚丙烯酰胺水凝胶隆乳术后继发全腹壁及会阴部慢性非特异性炎症1例
- Author:
Jingchu CHEN
1
;
Xiaoni MA
;
Gaoping QIN
Author Information
1. 西安医学院，西安 710021
- Publication Type:Journal Article
- Keywords:
Postoperative complications;
Polyacrylamide gel;
Breast augmentation;
Chronic nonspecific inflammation
- From:
Chinese Journal of Plastic Surgery
2025;41(11):1183-1189
- CountryChina
- Language:Chinese
-
Abstract:
A 66-year-old female patient was admitted to the Emergency Surgery Department of Shaanxi Provincial People’s Hospital in November 2019 due to sudden high fever accompanied by skin redness and pain in the whole abdomen and perineum. After systemic anti-infection and local drainage of perineum area, the patient was discharged with improved symptoms. However, the symptoms recurred 12 days later and the patient was admitted to emergency surgery again. After the treatment, the effect was poor, and the drainage volume was maintained at 100-150 ml/d. Multidisciplinary consultation was organized and after detailed medical history questioning by plastic surgeons, it was confirmed that the patient had received polyacrylamide gel (PAAG) injection for breast augmentation 30 years ago and was therefore transferred to plastic surgery for systematic treatment. According to the patient’s clinical manifestations, bilateral breast and abdominal wall imaging result and medical history, PAAG was diagnosed as chronic non-specific inflammation of the whole abdominal wall and perineum after breast augmentation. PAAG was removed by infra mammary fold incision, combined with liposuction tube vacuum suction and whole abdominal fascial space debridement and lavage drainage. Pathological examination of capsule tissue after the operation showed foreign body granulomatous inflammation, consistent with chronic non-specific inflammatory changes after PAAG injection. The patient recovered well after surgery and was discharged 7 days later. During the 6-year follow-up, the patient no longer experienced related symptoms and accepted the current breast shape. The patient is currently under continuous follow-up observation. The treatment process of this patient indicates that a detailed medical history, comprehensive physical examination, and clear diagnosis are key prerequisites for ensuring correct treatment. Ultrasound and MRI are important methods for assessing the residual and distribution of fillers. For injection augmentation surgeries, regular follow-ups after surgery are necessary.
