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Updated: May 22, 2026
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Extremely large breast abscess in a breastfeeding mother
Krešimir Martic1, Oliver Vasilj
1Department for Plastic, Reconstructive and Aesthetic Surgery, University Hospital Dubrava, Zagreb, Croatia. kmartic@kbd.hr
Summary
Puerperal mastitis can lead to large breast abscesses in new mothers. Early suspicion and diagnosis are key to effective treatment and preventing extensive surgical intervention.
Area of Science:
- Obstetrics and Gynecology
- Surgical Oncology
Background:
- Puerperal mastitis is common in primiparous women, typically presenting 3-8 weeks postpartum.
- Breast abscesses secondary to mastitis often require surgical drainage or needle aspiration.
Observation:
- A case of an unusually large breast abscess (2 liters of exudate) in a 20-year-old primiparous woman, 6 weeks postpartum.
- The patient underwent surgical incision and drainage, followed by intravenous antibiotics and secondary wound closure.
Findings:
- Successful treatment with surgical intervention and antibiotics.
- Excellent cosmetic outcome at 3-month follow-up, with symmetrical breasts and minimal scarring.
Implications:
- Highlights the importance of high clinical suspicion for prompt diagnosis of breast abscesses.
- Emphasizes that timely and adequate treatment can prevent extensive surgical procedures and improve patient outcomes.
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