Pectus excavatum with delayed diagnosis of implant tear on MRI apparently causing recurrent postoperative seromas: A case report

Seroma formation is the most common early postoperative complication after pectus excavatum repair, but later seromas are rare. While many seromas eventually resorb or decrease in size after aspiration, our case demonstrates recurrent seroma formation as a late complication of pectus excavatum repai...

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Bibliographic Details
Published in:Skeletal radiology 2015-08, Vol.44 (8), p.1153-1156
Main Authors: Iyer, Arti R., Powell, Daniel K., Irish, Robert D., Math, Kevin R.
Format: Article
Language:English
Subjects:
Adult
Case Report
Delayed Diagnosis
Drainage
Funnel Chest - complications
Funnel Chest - pathology
Funnel Chest - therapy
Heart
Humans
Imaging
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Medicine
Medicine & Public Health
Nuclear Medicine
Orthopedics
Pathology
Prosthesis Failure
Radiology
Recurrence
Seroma - etiology
Seroma - pathology
Seroma - surgery
Silicones
Silicones - adverse effects
Tissue Expansion Devices - adverse effects
Treatment Outcome
Citations: Items that this one cites
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Summary:Seroma formation is the most common early postoperative complication after pectus excavatum repair, but later seromas are rare. While many seromas eventually resorb or decrease in size after aspiration, our case demonstrates recurrent seroma formation as a late complication of pectus excavatum repair in a patient with an implant tear. Postoperative seromas can result in prolonged chest wall pain, large chest wall masses, and increased mass effect on the heart with potential risk for resultant right ventricular outflow obstruction. This case report illustrates a solid silicone implant tear. Though rare, early recognition may help to decrease the likelihood of recurrent postoperative seromas.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-014-2060-x