Giulia Matheus e Castro , Eduardo de Faria Castro Fleury
{"title":"Twinkling artifact: a novelty finding for gel bleeding in silicone induced granuloma of breast implant capsule","authors":"Giulia Matheus e Castro , Eduardo de Faria Castro Fleury","doi":"10.1016/j.wfumbo.2025.100091","DOIUrl":null,"url":null,"abstract":"<div><div>The Twinkling artifact is an ultrasound finding commonly observed for the diagnosis of urolithiasis. The artifact consists of the formation of noise in the Doppler flowmetry study. However, when it comes to the evaluation of breast implants, there is no reported evidence in literature concerning its presence and significance.</div><div>In this case report, we describe a 41-year-old patient with implants for 8 years, asymptomatic, but who undergoes regular screening exams. In the Doppler ultrasound, the twinkling artifact was detected unilaterally inside an intracapsular mass compatible with silicone-induced granuloma of breast implant capsule (SIGBIC).</div><div>The objective of this case report is to demonstrate the strong correlation between the twinkling artifact and the presence of the silicone, foreign body. Specifically, when this artifact appears within the fibrous capsule, it strongly suggests gel bleeding. Therefore, the twinkling artifact can serve as an early sign of silicone bleeding in intact breast implants.</div></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"3 2","pages":"Article 100091"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"WFUMB Ultrasound Open","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2949668325000138","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The Twinkling artifact is an ultrasound finding commonly observed for the diagnosis of urolithiasis. The artifact consists of the formation of noise in the Doppler flowmetry study. However, when it comes to the evaluation of breast implants, there is no reported evidence in literature concerning its presence and significance.
In this case report, we describe a 41-year-old patient with implants for 8 years, asymptomatic, but who undergoes regular screening exams. In the Doppler ultrasound, the twinkling artifact was detected unilaterally inside an intracapsular mass compatible with silicone-induced granuloma of breast implant capsule (SIGBIC).
The objective of this case report is to demonstrate the strong correlation between the twinkling artifact and the presence of the silicone, foreign body. Specifically, when this artifact appears within the fibrous capsule, it strongly suggests gel bleeding. Therefore, the twinkling artifact can serve as an early sign of silicone bleeding in intact breast implants.
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