Treatment of breast abscesses with ultrasound-guided aspiration and irrigation in the emergency setting

Emergency Radiology
Bulent OzsekerOlcay M Cizmeli

Abstract

The purpose of our study was to describe the efficacy of ultrasound (US)-guided aspiration and intracavitary irrigation of breast abscesses in the emergency setting. Ten cases of mastitis clinically suspected of having a breast abscess were referred from the emergency department for breast ultrasound. Eleven abscesses depicted at US were treated with US-guided aspiration and intracavitary irrigation. All patients were given antibiotics, and the success of US-guided treatment was determined. Three abscesses that were smaller than 3 cm were treated with single aspiration and irrigation. Ninety-one percent of patients were cured with US-guided aspiration and irrigation requiring no further surgical intervention. One case of chronic mastitis fistulized to the skin and was drained surgically. No recurrences were observed in the follow-up period. US-guided percutaneous aspiration and irrigation is a successful method for treatment of breast abscesses in the emergency setting. This method is more successful in abscesses with a maximum dimension smaller than 3 cm and should be preferred to the surgical drainage.

Associated Clinical Trials

Oct 15, 2019·Robert Ehrman

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Citations

Sep 17, 2013·PloS One·Westyn Branch-EllimanSharon B Wright
Mar 26, 2014·AJR. American Journal of Roentgenology·Mary C Mahoney, Amanda D Ingram
Oct 15, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Isabelle TropLucie Lalonde
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Sep 2, 2021·Journal of Gynecology Obstetrics and Human Reproduction·V RigourdJ Y Seror
Sep 18, 2021·Emergency Radiology·Dan A MooreSheryl G Jordan

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