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Breast Pseudoaneurysm Following a Motor Vehicle Collision.

Alan Y Xu¹, Mariam Hanna¹

¹Department of Radiology, University of Florida College of Medicine, Gainesville, USA.

|August 19, 2024

Summary

A rare breast pseudoaneurysm (PSA) following trauma can resolve spontaneously. This case highlights PSAs as a potential complication of breast injury, even without prior procedures.

Keywords:

breast hematoma pseudoaneurysm traumatic breast injury ultrasound

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Area of Science:

Vascular Surgery
Trauma Surgery
Radiology

Background:

Breast pseudoaneurysms (PSAs) are uncommon, typically arising after surgical or interventional procedures.
PSAs following blunt breast trauma are exceptionally rare in medical literature.
Prompt diagnosis and management are crucial for preventing complications.

Observation:

A 67-year-old female presented with a right breast PSA after a motor vehicle collision.
The patient had no history of recent breast procedures, with blunt trauma being the sole preceding event.
Clinical presentation included a pulsatile mass in the affected breast.

Findings:

The breast pseudoaneurysm was successfully managed non-operatively with a simple external pressure dressing.
Follow-up imaging revealed spontaneous thrombosis of the pseudoaneurysm, indicating complete resolution.
This case underscores the potential for non-traumatic PSAs to resolve without intervention.

Implications:

Breast pseudoaneurysms should be considered in the differential diagnosis for patients with pulsatile breast masses or injuries, particularly after trauma.
The possibility of spontaneous resolution suggests that conservative management may be appropriate in select cases.
Increased awareness can improve the diagnosis and management of this rare but significant complication.