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Treatment of Breast Abscesses with US-guided Percutaneous Needle Drainage without Indwelling Catheter Placement1

Gina W. Hook, MD and Debra M. Ikeda, MD

1 From the Department of Radiology, Methodist Hospital, Indianapolis, Ind (G.W.H.), and the Department of Radiology, Stanford University School of Medicine, Rm S-068A, Stanford, CA 94305-5105 (D.M.I.). Received May 7, 1998; revision requested July 10; final revision received February 17, 1999; accepted March 26. Address reprint requests to D.M.I. (e-mail: dikeda@stanford.edu).



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Figure 1. Transverse US image of a 4-cm, irregularly shaped abscess (arrows) with septa in the breast of a 31-year-old postpartum woman. Aspiration yielded small amounts of thick pus. The abscess was treated with incision and drainage.

 


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Figure 2a. Breast abscess drainage with US guidance in a 55-year-old woman. (a) Transverse US image shows the needle (arrows) inside a 1.3-cm, irregularly shaped breast abscess cavity (arrowheads). The small rectangle is the annotation marker on the screen. (b) On the transverse US scan obtained after drainage, there are tiny loculations (arrows) remaining in the cavity, which was almost completely drained. The abscess resolved with antibiotic therapy.

 


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Figure 2b. Breast abscess drainage with US guidance in a 55-year-old woman. (a) Transverse US image shows the needle (arrows) inside a 1.3-cm, irregularly shaped breast abscess cavity (arrowheads). The small rectangle is the annotation marker on the screen. (b) On the transverse US scan obtained after drainage, there are tiny loculations (arrows) remaining in the cavity, which was almost completely drained. The abscess resolved with antibiotic therapy.

 





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