Abstract
An acute inflammatory lump which yields pus on incision/aspiration is broadly termed as a breast abscess. It is highly related to pregnancy and caused when a child feeds leading to nipple piercing and bacterial colonization due to improper nursing technique and incomplete emptying of the breast. Breast abscess remains a morbid condition among lactating women in developing countries as compared to the women in developed countries due to improved puerperal hygiene, nutrition, early administration of antibiotics and standard of living. Breast abscess ranges from mastitis to deep abscess and is the most common cause of morbidity in puerperal women. In India the Incidence of lactation breast abscess is very high. This study aims to compare the results of ultrasound guided aspiration of abscess and incision and drainage in the management of breast abscess. This is a comparative study between ultrasound guided aspiration of abscess and incision and drainage consisting of 120 patients who underwent both the treatment modalities alternatively. Ultrasound guided aspiration is an effective method of treatment in breast abscess with a good patient satisfaction and less morbidity.
Keywords: Breast abscess, USG guided aspiration, hypoechoic lesion.
References
- Martin JG. Breast abscess in lactation. Journal of midwifery and women's health. 2009; 54(2):150-1.
- Ulitzsch D, Nyman MK, Carlson RA. Breast abscess in lactating women: US-guided treatment. Radiology. 2004; 232(3):904-9.
- Leibman AJ, Misra M, Castaldi M. Breast abscess after nipple piercing: sonographic findings with clinical correlation. Journal of ultrasound in medicine. Official journal of the American Institute of Ultrasound in Medicine. 2011; 30(9):1303-8.
- Kaufmann R, Foxman B. Mastitis among lactating women: occurrence and risk factors. Social sciences in medicine. 1991; 33(6):701-5).
- Cignacco E, Zbinden A, Surbek D. Ongoing breastfeeding with breast abscess.Pflege.2006; 19(2):70-8.
- Rassmussen NR, Bilchet-Toft M.Primary periareolar abscess in the Non-lactating breast risk of recurrence. AMJ Surg. 1987; 153:571-3.
- Benson EA. Management of breast abscesses. World J Surg. 1989; 13:753-6.)
- Dener C, Inan A. Breast abscesses in lactating women. World J Surg. 2003; 27:130-3.
- Elagili F, Abdullah N, Fong L, Pei T. Aspiration of breast abscess under ultrasound guidance: outcome obtained and factors affecting success. Asian journal of surgery/Asian Surgical Association.2007; 30(1):40-4.
- Srauss A, Middendorf K, Müller-Egloff S, Heer IM, Untch M, and Bauerfeind I.Sonographically guided percutaneous needle aspiration of breast abscesses-a minimal invasive alternative to surgical incision. Ultraschall Med. 2003; 24(6): 393-8.
- Schwarz rj, shrestha r. Needle aspiration of breast abscesses. Am j surg 2001;182: 117119
- Dixon JM. Repeated aspiration of breast abscesses in lactating women. BMJ (Clinical research ed).1988;297(6662): 1517-8
- Crowe DJ, Helvie MA, Wilson TE. Breast infection. Mammographic and sonographic findings with clinical Inves-tigative radiology.1995;30(10):582-7
- Eryilmaz R, Sahin M, Hakan Tekelioglu M, Daldal E. Management of lactational breast abscesses. Breast (Edinburgh, Scotland). 2005; 14(5):375-9.
- Chandika AB, Gakwaya AM, Kiguli-Malwadde E, Chalya PL. Ultrasound guided needle aspiration versus surgical drainage in the management of breast abscesses: a Ugandan experience. BMC research notes. 2012; 5:12.
- Hamid HS, Osama MI. Percutaneous Needle Aspiration Is A Minimally Invasive Method For A Breast Abscess. Arch Clin Exp Surg. 2012;1(2):105-9
- Leborgne f, leborgne f. Treatment of breast abscesses with sonographically guided aspiration, irrigation and instillation of antibiotics. Ajr am j roentgenol 2003;181:1089-9
- Berna-serna JD, madrigal m, berna-serna jd. Percutaneous management of breast abscesses. An experience of 39 cases. Ultrasound med biol 2004; 30:1-6.
- Thirumalaikumar s, kommu s. Best evidence topic reports. Aspiration of breast abscesses. Emerg med j 2004; 21:333-334.
- Singh G, Singh G, Singh LR, Singh R, Singh S,Sharma KL. Management of breast abscess by repeated aspiration and antibiotics. Journal of Medical Society. 2012; 26(3):189.
- Karstrup S, Solvig J, Nolsoe CP, Nilsson P, KhattarS, Loren I, et al. Acute puerperal breast abscesses: US-guided drainage. Radiology. 1993;188(3):807-9}
Corresponding Author
Dr Suhail Masood Khan
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.160
