BMJ Case Reports 2018; doi:10.1136/bcr-2017-219688
  • Rare disease

Recurrent complications of PAAG implants during lactation

  1. Chaitra Jose2
  1. 1Department of Radiology, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
  2. 2Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
  1. Correspondence to Dr Anita Geraldine Bourke, anita.bourke{at}
  • Accepted 30 June 2017
  • Published 5 November 2018


A 35-year-old lactating woman with pre-existing polyacrylamide gel (PAAG) implants for 10 years presented on numerous occasions following both her pregnancies with bilateral recurrent breast infection, pain and finally massive breast enlargement with a ruptured galactocoele necessitating surgical intervention. As the safety of PAAG for the breastfeeding baby is not known, breastfeeding with PAAG implants is not recommended.


  • Contributors AGB and CJ both contributed to the concept and manuscript writing.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article