title: Treatment of breast abscesses with ultrasound-guided aspiration and irrigation in the emergency setting.
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.
authors.affiliation: Department of Radiology, Acibadem Hospital, Inonu cd. Okur sk., Kozyatagi, 34742, Istanbul, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Ozseker
authors.forename: Umit A
authors.initials: UA
authors.lastname: Ozcan
authors.forename: Kemal
authors.initials: K
authors.lastname: Rasa
authors.forename: Olcay M
authors.initials: OM
authors.lastname: Cizmeli
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001941:Breast Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D004630:Emergencies; D005260:Female; D006801:Humans; D008413:Mastitis / Q000000981:diagnostic imaging / Q000628:therapy; D013396:Suction; D007507:Therapeutic Irrigation; D018084:Ultrasonography, Interventional; D016217:Ultrasonography, Mammary
chemical_list: D000900:Anti-Bacterial Agents