Ultrasound-Guided Percutaneous Catheter Drainage of Large Breast Abscesses in Lactating Women: How to Preserve Breastfeeding Safely

Giuseppe Falco, Monica Foroni, Fabio Castagnetti, Luigi Marano, Daniele Bordoni, Nicola Rocco, Vanessa Marchesi, Valentina Iotti, Rita Vacondio, Guglielmo Ferrari

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Management of breast abscess in lactating women remains controversial. During pregnancy, women may develop different kinds of benign breast lesions that could require a surgical incision performed under general anesthesia with consequent breastfeeding interruption. The purpose of this study was to prospectively evaluate the management of large breast abscesses with ultrasound-assisted drainage aiming at breastfeeding preservation. Materials and Methods: 34 lactating women with a diagnosis of unilateral breast abscess have been treated with an ultrasound (US)-assisted drainage of the abscess. A pigtail catheter was inserted into the fluid collection using the Seldinger technique under US guide and connected to a three stop way to allow drainage and irrigation of the cavity until its resolution. Results: All procedures have been found safe and well tolerated. No recurrence was observed and breastfeeding was never interrupted. Conclusions: The described technique allows to avoid surgery and to preserve breastfeeding in well-selected patients with a safe, well-tolerated and cost-effective procedure.

Original languageEnglish
Pages (from-to)555-556
Number of pages2
JournalBreastfeeding Medicine
Volume11
Issue number10
DOIs
Publication statusPublished - Dec 1 2016

Keywords

  • Breast abscess
  • breastfeeding preservation
  • ultrasound-guided drainage

ASJC Scopus subject areas

  • Pediatrics
  • Health Policy
  • Obstetrics and Gynaecology
  • Maternity and Midwifery

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