Skip to main content

Advertisement

SpringerLink
Log in

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

  • Original Article
  • Published:
Emergency Radiology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Karstrup S, Solvig J, Nolsoe CP et al (1993) Acute puerperal breast abscesses: US-guided drainage. Radiology 188:807–809

    PubMed  CAS  Google Scholar 

  2. Christensen AF, Al-Suliman N, Nielsen KR, Vejborg I, Severinsen N, Christensen H, Nielsen MB (2005) Ultrasound-guided drainage of breast abscesses: results in 151 patients. Br J Radiol 78:186–188

    Article  PubMed  CAS  Google Scholar 

  3. Hines N, Leibman A, David M (2007) Breast problems presenting in the emergency room. Emerg Radiol 14(1):23–28 (May)

    Article  PubMed  Google Scholar 

  4. Ulitzsch D, Nyman MKG, Carlson RA (2004) Breast abscess in lactating women: US-guided treatment. Radiology 232:904–909

    Article  PubMed  Google Scholar 

  5. Hook GW, Ikeda DM (1999) Treatment of breast abscesses with US-guided percutaneous needle drainage without indwelling catheter placement. Radiology 213:579–582

    PubMed  CAS  Google Scholar 

  6. Imperiale A, Zandrino F, Calabrese M et al (2001) US-guided serial percutaneous aspiration and local antibiotic therapy after unsuccessful systemic antibiotic therapy. Acta Radiol 42:161(Abstract)

    PubMed  CAS  Google Scholar 

  7. Leborgne F, Leborgne F (2003) Treatment of breast abscesses with sonographically guided aspiration, irrigation, and instillation of antibiotics. Am J Roentgenol 181:1089–1091

    Google Scholar 

  8. O’hara RJ, Dexter SPL, Fox JN (1996) Conservative management of infective mastitis and breast abscesses after ultrasonographic assessment. Br J Surg 83:1413–1414

    Article  PubMed  CAS  Google Scholar 

  9. Schwarz RJ, Shresta R (2001) Needle aspiration of breast abscesses. Am J Surg 182:117–119

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Acibadem Hospital, Inonu cd. Okur sk., Kozyatagi, 34742, Istanbul, Turkey

    Bulent Ozseker, Umit A. Ozcan & Olcay M. Cizmeli

  2. Department of Surgery, Acibadem Hospital, Inonu cd. Okur sk., Kozyatagi, 34742, Istanbul, Turkey

    Kemal Rasa

Authors
  1. Bulent Ozseker
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Umit A. Ozcan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kemal Rasa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Olcay M. Cizmeli
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Umit A. Ozcan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ozseker, B., Ozcan, U.A., Rasa, K. et al. Treatment of breast abscesses with ultrasound-guided aspiration and irrigation in the emergency setting. Emerg Radiol 15, 105–108 (2008). https://doi.org/10.1007/s10140-007-0683-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10140-007-0683-0

Keywords

Search

Navigation