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Treatment of Breast Abscesses with Sonographically Guided Aspiration, Irrigation, and Instillation of Antibiotics

Francisco Leborgne1 and Felix Leborgne

1 Both authors: Breast Unit, Instituto de Radiología y Centro de Lucha contra el Cáncer, Pereira Rossell Hospital, B. Artigas 1550, Montevideo, Uruguay.



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  		Fig. 1A. —Lactational left breast abscess caused by Staphylococcus aureus in 23-year-old woman. Three needle aspiration procedures, irrigation, and local injection of cephradine were performed. Breast-feeding was not interrupted. Sonogram before initial aspiration of 40 mL of pus shows cavity with irregular walls and fine internal echoes that were displaced by transducer compression and by ultrasound beam penetrating cavity.

 


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  		Fig. 1B. —Lactational left breast abscess caused by Staphylococcus aureus in 23-year-old woman. Three needle aspiration procedures, irrigation, and local injection of cephradine were performed. Breast-feeding was not interrupted. Repeated sonogram before third aspiration of 10 mL of pus to complete resolution of abscess. Internal echoes have cleared.

 

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