[Christmas article: Goose breast caused by unusual circumstances]

This case report investigate a 61-year-old healthy man who, during a Christmas goose-shooting, got repeated punches on the right breast region, owing to a defective shotgun stock. The initial suggilations and haematomas disappeared in three weeks, but after three months a tender enlargement of the periareolar area developed. Mammography and sonography showed typical right gynaecomastia. History, andrologial examination and biochemistry disclosed no explanation. It was concluded that a traumatic aetiology of the gynaecomastia was most likely. During the next year, the clinical signs regressed somewhat, but control sonography showed leftovers of ductal tissue, and the bird shooter has become reconciled with his "goose breast".