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Ann Thorac Surg 1995;60:1417-1419
© 1995 The Society of Thoracic Surgeons

Articles

Silicone thorax: a complication of tube thoracostomy in the presence of mammary implants

MD David C. Rice, MD Thirugnanam Agasthian, MD Ricky P. Clay, MD Claude Deschamps*

Sections of General Thoracic Surgery and Plastic and Reconstructive Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA

Accepted for publication May 10, 1995.

* Address reprint requests to Dr Deschamps, Mayo Clinic, 200 First St, SW, Rochester, MN 55905.

Rupture of silicone breast implants is usually either iatrogenic or due to trauma. We present a case of blunt chest wall trauma in a patient with bilateral breast implants. Emergency chest tube thoracostomy resulted in rupture of one of the prostheses and caused subsequent migration of silicone into the chest cavity, where it led to empyema. The patient ultimately required a thoracotomy to evacuate the silicone and decorticate the lung. Review of the literature and methods to avoid this complication are described.




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