Atypical Capsular Contracture with Delayed Intracapsular Hematoma After Breast Implantation for Reconstruction

Abstract Late spontaneous hematoma (> 6 months postoperatively) after breast reconstruction using implant is rare complication. We experienced a case of capsular contracture with unique clinical form intracapsular 13 years implantation smooth saline filled implants. This report presented the mechanism complication examined through chart-review, histological morphological analysis, and literature review to help evaluation treatment various symptoms around capsule. A 51-year-old woman underwent unilateral tissue expander insertion in 2005, year. patient has been assessed computed tomography (CT) ultrasonography annually for cancer screening General Surgery department, 14 implantation, she was referred Plastic department as finding multi-layering lesion implant. She removal capsulectomy. The excised capsule sent evaluation. There were no trauma event, calcifications, or rupture. Symptoms swelling stiffness gradually developed. etiology late following poorly characterized. are opinions that delayed can be induced by microfracture, which may due rigidity contracted capsule, it caused friction between when there pathological contracture. It thought an old mistaken tumor lesions, concluded our corresponds.