Current Thoracic Surgery
2025 , Vol 10 , Issue 3
A rare complication of hydrophilic gel filler: intrathoracic migration
1Department of Thoracic Surgery, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey2Department of Thoracic Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey DOI : 10.26663/cts.2025.033 Viewed : 5 - Downloaded : 5 Hydrophilic gel fillers are associated with late complications, including migration. We present a rare case of intrathoracic migration in a 32-year-old female, seven years after bilateral breast augmentation. Despite multiple prior extrathoracic migrations, a new right paracardiac cystic lesion was identified on computed tomography. The lesion was successfully excised via video-assisted thoracoscopic surgery, and pathology confirmed filler material. This case underscores the potential for distant migration of hydrophilic gels and the need to consider this etiology in patients with mediastinal masses and a history of augmentation. Keywords : hydrophilic gel filler, intrathoracic migration, mediastinal mass, breast augmentation, video-assisted thoracoscopic surgery