Pulmonary fibrosis and embolism secondary to silicon implant leak

BMJ Case Rep. 2019 Jun 14;12(6):e229470. doi: 10.1136/bcr-2019-229470.


Pulmonary fibrosis in a patient with history of ruptured silicone breast implants may present a therapeutic challenge to diagnose and treat. In this case report, we aim to discuss our experience in diagnosing a patient with chronic silicone embolism syndrome masquerading as refractory multifocal pneumonia that presented with respiratory failure. A young woman with no significant past exposure having recurrent admissions to the hospital due to fever and shortness of breath was found to have chronic silicone embolism with pneumonitis. This case report emphasis the prompt diagnosis and treatment of silicone induced fibrosis and approach to the most common side effects of breast implants.

Keywords: adult intensive care; mechanical ventilation; pneumonia (infectious disease); respiratory system.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Breast Implantation / adverse effects*
  • Breast Implants / adverse effects*
  • Female
  • Humans
  • Prosthesis Failure
  • Pulmonary Embolism / etiology*
  • Pulmonary Fibrosis / etiology*
  • Silicone Gels / adverse effects*


  • Silicone Gels