Non-lactating breast abscess

Case contributed by Dr Maulik S Patel

Presentation

Previous delivery - 3 yrs back. C/o I & D for right breast abscess - in August 2013 Incisional scar at 3 o'clock, about 2 -3 cm away from nipple. C/o discharge from scar. High WBC count.

Patient Data

Age: 30 yrs
Gender: Female
Ultrasound

Incisional scar is noted at 3 o'clock, about 2 -3 cm away from nipple. Depth of scar is about 15 mm. Prominent ducts are noted extending from scar to nipple.

 Dilated ducts with echoes ( about 10 - 12 mm diameter ) in 8 to 10 o'clock. Braching is noted on peripheral aspect.  Length is about 30 - 35 mm. They communicate with nipple.

 Few small dilated ducts ( 4 -5 mm diameter ) are noted at 6 o'clock and 2 o'clock. They appear to reach to nipple or scar.

 Rest of the breast shows normal glandular parenchyma .

 There is no focal solid mass lesion noted.

 Pectoralis muscle is normal.

 There are about 3 ovoid, non-necrotic nodes with preserved hilar fat and vascularity in right axilla. 

Case Discussion

Surgery - abscess.

Histopathology - granulomatous disease.

Ziehl Neelsen (Acid Fast ) staining - positive, suggesting tuberculosis.

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Case information

rID: 25981
Case created: 20th Nov 2013
Last edited: 25th Jul 2016
System: Breast
Inclusion in quiz mode: Included

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