JACC. Case reports · 2026
Recurrent Superficial Thrombophlebitis Secondary to Migrated Silicone: A Diagnostic Challenge.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Abuhalimeh Raghad, Alhmouz Musa'ab Moh'd, Abuhalimeh Lina, Adams Lucy, Bader Nour, Bravo Miguel, Abuhalimeh Yousef, Abuhalimeh Batool Jamal
Аннотация
BACKGROUND: Lower extremity swelling is a common clinical presentation with a broad and overlapping differential diagnosis. Although recurrent cellulitis may be commonly seen in such cases, the coexistence of migratory superficial venous thrombophlebitis and chronic edema is uncommon, particularly in the absence of varicose veins. Delayed complications of cosmetic silicone fillers are increasingly recognized; however, vascular manifestations remain rare.
CASE SUMMARY: We report a 39-year-old woman with a 3-year history of recurrent bilateral lower extremity edema, cellulitis, and migratory superficial thrombophlebitis. Extensive evaluation excluded infectious, lymphatic, cardiac, renal, hepatic, malignant, autoimmune, and hypercoagulable causes. Duplex ultrasonography revealed "snowstorm" echogenicity, and magnetic resonance imaging confirmed migrated silicone deposits in the lower extremities. Surgical removal resulted in complete symptom resolution.
TAKE-HOME MESSAGES: Delayed silicone migration can induce chronic inflammatory and vascular complications, posing a diagnostic challenge and mimicking recurrent cellulitis. This case highlights the multifactorial complexity of chronic lower extremity swelling and the importance of multidisciplinary evaluation.
CASE SUMMARY: We report a 39-year-old woman with a 3-year history of recurrent bilateral lower extremity edema, cellulitis, and migratory superficial thrombophlebitis. Extensive evaluation excluded infectious, lymphatic, cardiac, renal, hepatic, malignant, autoimmune, and hypercoagulable causes. Duplex ultrasonography revealed "snowstorm" echogenicity, and magnetic resonance imaging confirmed migrated silicone deposits in the lower extremities. Surgical removal resulted in complete symptom resolution.
TAKE-HOME MESSAGES: Delayed silicone migration can induce chronic inflammatory and vascular complications, posing a diagnostic challenge and mimicking recurrent cellulitis. This case highlights the multifactorial complexity of chronic lower extremity swelling and the importance of multidisciplinary evaluation.