A female patient, 38 years old, three pregnancies, two births and induced abortion in post surgical amenorrhea for 11 years, for total hysterectomy, which undergoes a second time breast implant procedure - 8 days ago-to gain breast volume. From this procedure, has intense pain in both breasts, especially the right, with bruising in a position of 03 hours of the clock and drainage of fluid from the sero-sanguineous drainage outlet. He complains of local heat and high fever, headache and malaise. The patient is prepared to withdraw the implant as it did with the first, years ago.The patient's clinical situation has not changed despite the deck with broad-spectrum antibiotics that have been delivered to the patient.
The eco-sonographic examination with 10.0 MHz linear transducer in the right breast, breast implant can be seen intact in its contours, without the presence of discontinuous images that might mean breaking, fluid collections are lumpy appreciate fine suspended, teardrop-shaped, located 09 position of the clock, measures approx 3.6 x 1.7 x 1.0 cms. The echo Doppler shows increased vascular flow and seems to display the way out of the liquid outwards.
The left breast shows another small collection sonographic features similar, but smaller, is located at 03 o'clock and measures approx 2.0 x 0.4 x 0.5 cm (image not shown).