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CC BY-NC 4.0 · Arch Plast Surg 2020; 47(03): 267-271
DOI: 10.5999/aps.2019.00402
Case Report

Recurrent late seroma after immediate breast reconstruction with latissimus dorsi musculocutaneous flap

Seong Hwan Bae 
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea
Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
,
Yong Woo Lee 
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea
,
Su Bong Nam 
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea
,
So Jeong Lee 
Department of Pathology, Pusan National University School of Medicine, Busan, Korea
,
Heeseung Park 
Busan Cancer Center, Pusan National University Hospital, Busan, Korea
,
Taewoo Kang 
Busan Cancer Center, Pusan National University Hospital, Busan, Korea
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The latissimus dorsi musculocutaneous flap (LDMCF) is widely used for breast reconstruction. However, it has the disadvantage of frequent seroma formation at the donor site, and late seroma has also been reported. The authors report histological findings after the surgical treatment of a late, repeatedly recurrent seroma at 10 years after breast reconstruction with LDMCF. In 2008, a 66-year-old female patient underwent immediate breast reconstruction with LDMCF. In 2015, a late seroma was found at the donor site. After aspiration and drainage, the seroma recurred again in 2018. Total surgical excision of the seroma was performed and bloody-appearing fluid was identified in the capsule. The excised tissue was biopsied. Histological examination revealed no evidence of blood in the fluid, and multinucleated giant cells with amorphous eosinophilic proteinaceous material were identified. The cyst was suggestive of chronic granulomatous inflammation. There was no recurrence at 8 months post-operatively. The patient described herein underwent surgical treatment of late seroma that recurred after immediate breast reconstruction with LDMCF, and histological findings were identified. These results may be helpful for other future studies regarding late seroma after breast reconstruction with LDMCF.

Keywords

Mastectomy - Mammaplasty - Surgical flaps - Superficial back muscles - Seroma

This article was presented as a poster at PRS Korea 2018 on November 9–11, 2018, in Seoul, Korea.




Publication History

Received: 30 March 2019

Accepted: 19 September 2019

Article published online:
22 March 2022

© 2020. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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