Vulvar migration of injected polyacrylamide hydrogel following breast augmentation: a case report and literature review

Abstract Background Vulvar migration is a rare complication of filler injection for breast augmentation, generally presenting as repeated pain and fever. We will report a case of woman with polyacrylamide hydrogel breast injection develops vulvar abscess. Case presentation A woman with a history of...

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Main Authors: Junxian Wen, Zhijin Li, Yarong Chi, Bo Chen, Tao Hong, Zhifei Liu, Nanze Yu, Xiaojun Wang
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-024-02998-0
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author Junxian Wen
Zhijin Li
Yarong Chi
Bo Chen
Tao Hong
Zhifei Liu
Nanze Yu
Xiaojun Wang
author_facet Junxian Wen
Zhijin Li
Yarong Chi
Bo Chen
Tao Hong
Zhifei Liu
Nanze Yu
Xiaojun Wang
author_sort Junxian Wen
collection DOAJ
description Abstract Background Vulvar migration is a rare complication of filler injection for breast augmentation, generally presenting as repeated pain and fever. We will report a case of woman with polyacrylamide hydrogel breast injection develops vulvar abscess. Case presentation A woman with a history of polyacrylamide hydrogel breast injection was noted to have vulvar abscess due to migration of filler materials. Filler removal surgery and vacuum sealing drainage was performed for this patient. The patient was discharged from the hospital with no further complications. After a review of pertinent literature, only four previous case reports are found. Local inflammatory response, infection, large volume injections, inframammary fold destruction, hematogenous or lymphatic migrate, trauma, gravity and external pressure could play essential parts in the migration of injected filler. Conclusion Polyacrylamide hydrogel migration poses a worldwide challenge, necessitating personalized solutions. Our case study underscores the importance of comprehensive examinations for individuals with a history of filler breast injection when suspecting vulvar filler migration.
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spelling doaj.art-93179fae7b544ec19087fd7649023d5f2024-03-05T20:08:47ZengBMCBMC Women's Health1472-68742024-03-012411910.1186/s12905-024-02998-0Vulvar migration of injected polyacrylamide hydrogel following breast augmentation: a case report and literature reviewJunxian Wen0Zhijin Li1Yarong Chi2Bo Chen3Tao Hong4Zhifei Liu5Nanze Yu6Xiaojun Wang7Department of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegeDepartment of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegePeking Union Medical College (PUMC), PUMC & Chinese Academy of Medical SciencesDepartment of Pathology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegeDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegeDepartment of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegeDepartment of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegeDepartment of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical CollegeAbstract Background Vulvar migration is a rare complication of filler injection for breast augmentation, generally presenting as repeated pain and fever. We will report a case of woman with polyacrylamide hydrogel breast injection develops vulvar abscess. Case presentation A woman with a history of polyacrylamide hydrogel breast injection was noted to have vulvar abscess due to migration of filler materials. Filler removal surgery and vacuum sealing drainage was performed for this patient. The patient was discharged from the hospital with no further complications. After a review of pertinent literature, only four previous case reports are found. Local inflammatory response, infection, large volume injections, inframammary fold destruction, hematogenous or lymphatic migrate, trauma, gravity and external pressure could play essential parts in the migration of injected filler. Conclusion Polyacrylamide hydrogel migration poses a worldwide challenge, necessitating personalized solutions. Our case study underscores the importance of comprehensive examinations for individuals with a history of filler breast injection when suspecting vulvar filler migration.https://doi.org/10.1186/s12905-024-02998-0Breast augmentationVulvaPolyacrylamide hydrogelMigrationCase ReportLiterature Review
spellingShingle Junxian Wen
Zhijin Li
Yarong Chi
Bo Chen
Tao Hong
Zhifei Liu
Nanze Yu
Xiaojun Wang
Vulvar migration of injected polyacrylamide hydrogel following breast augmentation: a case report and literature review
BMC Women's Health
Breast augmentation
Vulva
Polyacrylamide hydrogel
Migration
Case Report
Literature Review
title Vulvar migration of injected polyacrylamide hydrogel following breast augmentation: a case report and literature review
title_full Vulvar migration of injected polyacrylamide hydrogel following breast augmentation: a case report and literature review
title_fullStr Vulvar migration of injected polyacrylamide hydrogel following breast augmentation: a case report and literature review
title_full_unstemmed Vulvar migration of injected polyacrylamide hydrogel following breast augmentation: a case report and literature review
title_short Vulvar migration of injected polyacrylamide hydrogel following breast augmentation: a case report and literature review
title_sort vulvar migration of injected polyacrylamide hydrogel following breast augmentation a case report and literature review
topic Breast augmentation
Vulva
Polyacrylamide hydrogel
Migration
Case Report
Literature Review
url https://doi.org/10.1186/s12905-024-02998-0
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