ED breast cases and other breast emergencies

Khadem, Nasim; Reddy, Sravanthi; Lee, Sandy; Larsen, Linda Hovanessian; Walker, D.

doi:10.1007/s10140-015-1360-3

Cited by 7 publications

(8 citation statements)

References 34 publications

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“…Its incidence is 0.05%-0.5%. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] PSA is produced by a local trauma generating transmural disruption of the vascular wall and the arterial pressure of the blood cuts up the adjacent tissues, creating a sac that communicates with the lumen of the vessel. This sac is surrounded by 2 layers, the media, and the adventitia.…”

Section: Discussionmentioning

confidence: 99%

Breast pseudoaneurysm: two case reports

Olivares-Antúnez,

Dávila-Zablah,

Garza-Montemayor

2024

MOJCR

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Breast pseudoaneurysm (PSA) is known as pulsatile or communicated hematoma or false aneurysm. The incidence is 0.05%-0.5%. PSA can be spontaneous or secondary to interventional breast procedures, surgery, penetrating chest trauma, local infection, and burns. Meanwhile, spontaneous PSAs occur in elderly patients, with atherosclerosis or with coagulation therapies. We present two cases of PSA, the first case is a 29-years-old female and a 49-years-old female, who came for a check-up due to a recent a pulsatile mass after a breast core needle biopsy. Faced at hypoechoic mass is important to use color Doppler to rule out the diagnosis of PSA. Because of the low incidence, guidelines for treatment or a standard conduct are not established. However, it is important to set up management in order to avoid further complications.

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Section: Discussionmentioning

confidence: 99%

Breast pseudoaneurysm: two case reports

Olivares-Antúnez,

Dávila-Zablah,

Garza-Montemayor

2024

MOJCR

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“…The differential diagnosis for breast complaints is extensive, from trauma to infection and malignancy. 1,10 Prior literature has shown that breast pain is one of the most common breast complaints. 11,12 This is consistent with our study in patients presenting to the ED where a majority of the patients (57.5%) reported a complaint of breast pain, followed by patients presenting for evaluation of a palpable breast mass.…”

Section: Discussionmentioning

confidence: 99%

Point-of-care Ultrasound to Evaluate Breast Pathology in the Emergency Department

et al. 2021

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Introduction: As physician-performed point-of-care ultrasound (POCUS) becomes more prevalent in the evaluation of patients presenting with various complaints in the emergency department (ED), one application that is significantly less used is breast ultrasound. This study evaluates the utility of POCUS for the assessment of patients with breast complaints who present to the ED and the impact of POCUS on medical decision-making and patient management in the ED. Methods: This was a retrospective review of ED patients presenting with breast symptoms who received a POCUS examination. An ED POCUS database was reviewed for breast POCUS examinations. We then reviewed electronic health records for demographic characteristics, history, physical examination findings, ED course, additional imaging studies, and impact of the POCUS study on patient care and disposition. Results: We included a total of 40 subjects (36 females, 4 males) in the final analysis. Most common presenting symptoms were breast pain (57.5%) and a palpable mass (37.5%). "Cobblestoning," ie, dense bumpy appearance, was the most common finding on breast POCUS, seen in 50% of the patients. Simple fluid collections were found in 37.5% of patients. Conclusion: Our study findings illustrate the utility of POCUS in the evaluation of a variety of breast complaints in the ED.

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“…Use a 22‐gauge needle to inject thrombin at a concentration of 1000 U/mL. Usually a total volume of 0.5 to 1.0 mL is injected at a constant slow rate . Inject directly into the center of the PSA sac, carefully avoiding the PSA neck and underlying artery.…”

Section: Treatmentmentioning

confidence: 99%

“…Usually a total volume of 0.5 to 1.0 mL is injected at a constant slow rate. 3,4,25 Inject directly into the center of the PSA sac, carefully avoiding the PSA neck and underlying artery. Thrombin injection should be avoided in short-neck aneurysms because of the increased risk of thrombosis of the feeding artery.…”

Section: Treatment Option 1: Observation With External Pressure Dressingmentioning

confidence: 99%

“…3 Complications of breast core biopsy are overall rare, with hematoma being the most common, in approximately 2% to 10% of cases. 4,5 Breast PSAs usually develop after percutaneous biopsy using a large needle bore size such as a 14-gauge spring-loaded device or the larger 9-gauge vacuum-assisted device used in stereotactic and magnetic resonance imaging (MRI)-guided biopsies. 6,7 Here we describe the imaging features and treatment options for breast pseudoaneurysms after biopsy.…”

mentioning

confidence: 99%

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Imaging Features and Treatment Options for Breast Pseudoaneurysms After Biopsy: A Case‐Based Pictorial Review

Adler

Samreen²,

Glazebrook

et al. 2019

J of Ultrasound Medicine

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Pseudoaneurysm (PSA) formation is a potential complication of breast biopsies. Ultrasound is the most common imaging modality used for evaluation and treatment of a PSA. Color Doppler images show a cystic structure with swirling flow inside in a "to-and-fro" pattern. Treatment options for PSA include observation, ultrasound-guided focused compression, thrombin injection, open surgical repair, and percutaneous embolization. The risks and benefits of these treatment options will be discussed in the following cases.

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ED breast cases and other breast emergencies

Cited by 7 publications

References 34 publications

Breast pseudoaneurysm: two case reports

Breast pseudoaneurysm: two case reports

Point-of-care Ultrasound to Evaluate Breast Pathology in the Emergency Department

Imaging Features and Treatment Options for Breast Pseudoaneurysms After Biopsy: A Case‐Based Pictorial Review

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