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

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 costoch...

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Autores principales: Min, Sally, Choi, Jinil, Na, Kwon Joong, Hong, Ki Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556329/
https://www.ncbi.nlm.nih.gov/pubmed/37808331
http://dx.doi.org/10.1055/a-2088-2829
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author Min, Sally
Choi, Jinil
Na, Kwon Joong
Hong, Ki Yong
author_facet Min, Sally
Choi, Jinil
Na, Kwon Joong
Hong, Ki Yong
author_sort Min, Sally
collection PubMed
description 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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spelling pubmed-105563292023-10-07 Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature Min, Sally Choi, Jinil Na, Kwon Joong Hong, Ki Yong Arch Plast Surg 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. Thieme Medical Publishers, Inc. 2023-09-08 /pmc/articles/PMC10556329/ /pubmed/37808331 http://dx.doi.org/10.1055/a-2088-2829 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Min, Sally
Choi, Jinil
Na, Kwon Joong
Hong, Ki Yong
Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature
title Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature
title_full Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature
title_fullStr Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature
title_full_unstemmed Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature
title_short Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature
title_sort infective costochondritis after augmentation mammoplasty: a rare case report and review of the literature
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556329/
https://www.ncbi.nlm.nih.gov/pubmed/37808331
http://dx.doi.org/10.1055/a-2088-2829
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