Silicone breast implant rupture from pectoralis muscle contraction causing IGA Nephropathy: a case report

• Main Authors: Mahno, Noor Ezmas, Abdullah, Norlia, Aziz, Suraya, Wan Md Adnan, Wan Ahmad Hafiz, Lai, Meng Looi
• Format: Article
• Language: English; English
• Published: Frontiers Media S.A. 2022
• Subjects: RC582 Specialities of Internal Medicine- Immunologic Diseases; RD Surgery
• Online Access: http://irep.iium.edu.my/100176/1/100176_Silicone%20breast%20implant%20rupture.pdf; http://irep.iium.edu.my/100176/2/100176_Silicone%20breast%20implant%20rupture_SCOPUS.pdf; http://irep.iium.edu.my/100176/; https://www.frontiersin.org/articles/10.3389/fonc.2022.771409/full
• Institution: Universiti Islam Antarabangsa Malaysia

A 34-year-old woman who was diagnosed with a left breast carcinoma underwent breast conserving surgery and axillary dissection. This was followed with adjuvant breast irradiation and endocrine therapy. She had a local recurrence in the breast 7 years later. She underwent a left nipple sparing mastectomy and submuscular implant reconstruction. The silicone implant ruptured during an episode of strong pectoralis muscle contraction, 5 years postimplantation. MRI confirmed the rupture to be intracapsular and extracapsular. She declined implant replacement. She presented with painless hematuria 2.5 years after the rupture. A renal biopsy confirmed IgA nephropathy.