case_images: PMC3676264_01
case_images: MRI scan of a 50-year-old patient done 21 months after immediate breast reconstruction. The patient had previously undergone excision of a seroma sac ("capsulectomy") 12 months prior to the imaging. The scan shows a high signal intensity, nonloculated lesion on T2W measuring approximately 19 x 7 x 11 cm3 in the subcutaneous tissues immediately anterior to the rectus muscles. (a) Transverse view, (b) Sagittal view, and (c) Recumbent view showing the size of the seroma and its location superficial to the abdominal musculature. MRI indicates magnetic resonance imaging.
case_images: eplasty13e24_fig1.jpg
case_images: PMC3676264_01_eplasty13e24_fig1.jpg
case_images: F1
case_images: Her seroma history postreconstruction extended to 26 months during which time she needed seroma cavity washouts under general anesthetic, debridement, 2 drain insertions under ultrasound guidance, and 2 seroma sac "capsulectomies" (Fig 1).
case_images: PMC3676264_02
case_images: Preoperative images of patient 2 (BMI = 40.8), with a previous appendectomy and hysterectomy (a and c). Appearances after bilateral prophylactic mastectomies and immediate bilateral SIEA flap breast reconstruction (b and d). BMI denotes body mass index; SIEA = superior inferior epigastric artery.
case_images: eplasty13e24_fig2.jpg
case_images: PMC3676264_02_eplasty13e24_fig2.jpg
case_images: F2
case_images: SIEA flap breast reconstructions (Fig 2) with an excellent early postoperative recovery. Seroma aspirations started 2 weeks after surgery and went on for 6 months.
case_images: PMC3676264_03