Title: Case Report of Breast Gangrene

Authors: Rajashri Kelkar, Priya Ahire, Mahendra S. Navare, Aditi Agrawal, Tanvi M. Shah

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i9.44

Abstract

Breast gangrene is a rare but possible complication of inadequate breast abscess drainage in a lactating mother. Associated with very devastating physical and psychological consequences. Fulminating infection of the breast can lead to gangrene quickly if breast abscess is treated with inadequate drainage of pus.

We present the case of a young lactating mother who was operated for Breast abscess. Inadequate drainage of the abscess led to breast gangrene within 4 days.

A high index of suspicion of breast abscess is necessary in a lactating mother who complains of breast pain and fever. Breast abscess should be adequately drained with appropriate antibiotics cover.

Keywords: Breast, Gangrene, lactation.

References

  1. Wani I, Bakshi I, Parray FQ, Malik AA, Wani RA, Shah M, Husasin I, Malik A, Wani S, Syed W. Breast gangrene. World J Emerg Surg. 2011 Aug 19;6:29. doi: 10.1186/1749-7922-6-29. PubMed PMID: 21854557; PubMed Central PMCID: PMC3173289.
  2. Charles S. Kipen Gangrene of the Breast --a Complication of Anticoagulant Therapy -- Report of Two Cases. N Engl J Med. 1961;265:638–640. doi: 10.1056/NEJM196109282651307. [PubMed] [Cross Ref]
  3. Cutter EC. Apoplexy of breast. JAMA. 1924;82:1763
  4. Breast gangrene: a rare source of severe sepsis Swati Agrawal1, Kumar Jayant2, Rajendra Agarwal BMJ Case Reports 2014; doi:10.1136/bcr-2013-203467
  5. Helfman RJ. Gangrene of the Breast. N Engl J Med. 1962;266:55–56
  6. Nudelman H, Kempson R. Necrosis of the breast: A rare complication of anticoagulant therapy. Am J Surg. 1966; 111(5):728–733. doi: 10.1016/0002-9610(66)90051-1. [PubMed] [Cross Ref]
  7. Sameer R, Quentin N, Ashish R, Abhay N. Breast gangrene as a complication of purperial sepsis. Arch Surg. 2002;137: 1441–1442. doi: 10.1001/archsurg.137.12.1441. [PubMed] [Cross Ref]
  8. Saira N, Kamran M, Mohsin A, Hasnan Z, Memon A. Necrotising fasciitis of the breast. The Breast Journal. 2006;12:168–169. doi: 10.1111/j.1075-122X.2006. 00227.x. [PubMed] [Cross Ref].

Corresponding Author

Dr Rajashri Kelkar. MS, FRCS

A-3, Anandchaya, P. Balu Road, Prabhadevi, Mumbai- 400025

Mobile No: 9820570477, Landline No: 022 24366375, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.