Osteomielitis costal múltiple tras mamoplastia de aumento. Caso clínico Translated title: Costal osteomyelitis after augmentation mammoplasty. Case report

Abstract

Resumen La mamoplastia de aumento con implantes es uno de los procedimientos más frecuentes de la Cirugía Plástica Estética a nivel mundial. A pesar de ello, no está exenta de complicaciones. Presentamos una complicación poco frecuente consistente en una osteomielitis costal en mujer de 39 años de edad, sometida a aumento mamario con implantes de silicona en plano submuscular 8 años antes, con lavado y cierre de herida (tratamiento conservador) tras dehiscencia de la herida 3 semanas después del procedimiento. Se presenta en consulta por rotura espontánea de implante derecho, por lo que se lleva a cirugía para recambio encontrando necrosis parcial de 4ª y 5ª costillas derechas. Hasta donde hemos podido comprobar, el caso que presentamos corresponde al sexto caso de osteomielitis costal reportado en la literatura mundial y primero que afecta a más de una costilla.

Translated abstract

Abstract Breast augmentation with implants is one of the most frequent Aesthetic Plastic Surgery procedures performed worldwide. Even though, it's not exempt from developing complications. We present a not so common complication, a costal osteomyelitis in a 39 years old female patient who had an augmentation mammoplasty with submuscular silicone implants 8 years ago, and had a posterior curettage and wound closure (conservative treatment) after having a wound dehiscence 3 weeks after the procedure. She comes to our consultation presenting a spontaneous rupture of her right breast implant, reason why she was taken to surgery with a surgical plan of breast implant exchange, where a partial necrosis of the 4th and 5th ribs was found. To our best knowledge, this is the sixth costal osteomyelitis related to breast implants reported in the world literature, and the first that affects more than one rib.