Pseudoaneurysm of the breast

Filho, Ariosto Rodrigues Ribeiro; Machado, Aline Fortes; Vieira, Sabas Carlos; Dantas, Aldecy Ribeiro Gonçalves do Nascimento Teixeira

doi:10.3233/bd-140392

Cited by 6 publications

(19 citation statements)

References 13 publications

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“…Pseudoaneurysms of the breast are rare complications of percutaneous breast interventions [1] , [2] , [3] , [4] , 8] . Some authors have explored local complications of invasive and percutaneous breast procedures during pregnancy [6] .…”

Section: Discussionmentioning

confidence: 99%

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Breast pseudoaneurysm after core needle biopsy in a pregnant patient

Pesce

Chico

Binder

2021

Radiology Case Reports

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Breast pseudoaneurysm is an extremely rare complication of interventional breast procedures. Pregnancy and lactation are associated with increased breast vascularization, which may act as a risk factor. We present the case of a 36-year-old woman in the third trimester of a spontaneous twin pregnancy, who presented with a newly-detected BI-RADS 4 mass in her right breast. The patient requested not to defer a biopsy until after the pregnancy, and an ultrasound-guided breast core biopsy was performed. The patient presented bleeding during the procedure, but no hematomas or other vascular lesions were immediately detected. During follow-up, a breast ultrasound revealed an anechoic circumscribed mass and high‐velocity blood flow. The color Doppler showed a spiral blood flow with the Yin-Yang sign, together with a communication channel between the sac and feeding artery. A diagnosis of breast pseudoaneurysm was made. The patient was managed conservatively, and breastfeeding continued normally. This case report highlights the importance of color Doppler in the detection of pseudoaneurysms, and the need to consider deferring invasive breast procedures in pregnant women when possible.

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Section: Discussionmentioning

confidence: 99%

“…Breast pseudoaneurysms are extremely rare complications of interventional breast procedures [1] , [2] , [3] , [4] . An arterial pseudoaneurysm is caused by damage to the arterial wall.…”

Section: Introductionmentioning

confidence: 99%

Breast pseudoaneurysm after core needle biopsy in a pregnant patient

Pesce

Chico

Binder

2021

Radiology Case Reports

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“…Regarding breast pseudoaneurysm management, conservative treatments can be attempted first, such as ultrasound-guided vascular mass compression, which may be repeated with periodic lesion monitoring. Many breast pseudoaneurysm cases undergo spontaneous thrombosis and are not clinically evident [20]. Alternatively, or as a next step, thrombosing with gelatin particles (Gelfoam, Upjohn), glue particles, or coil or alcohol injections, as well as endovascular treatment can be employed, with the final alternative being a surgical procedure [10,15,20].…”

Section: Treatment and Prognosismentioning

confidence: 99%

“…Many breast pseudoaneurysm cases undergo spontaneous thrombosis and are not clinically evident [20]. Alternatively, or as a next step, thrombosing with gelatin particles (Gelfoam, Upjohn), glue particles, or coil or alcohol injections, as well as endovascular treatment can be employed, with the final alternative being a surgical procedure [10,15,20].…”

Section: Treatment and Prognosismentioning

confidence: 99%

Pseudoaneurysm after an ultrasound-guided breast core needle biopsy in a lactating woman

Chamadoira¹,

Figueiredo²,

D'Ãvila³

et al. 2021

Radiology Case

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This is a case report of a lactating woman in her twenties diagnosed with a breast pseudoaneurysm following a 14-gauge ultrasound-guided core needle biopsy detected by a Color Doppler exam, and treated with surgery. Further discussion concerning the patient's symptoms, useful imaging modalities, and treatment options are included. Knowledge on this complication is crucial for the correct diagnosis and best management and treatment.

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“…1 However, after undergoing a CNB, some patients may develop a significant hematoma (a rare event) or a pseudoaneurysm (PA) of the breast (an extremely rare complication). 2,3 Despite the latter is extremely rare, the treating physician should suspect the occurrence of a breast PA if, after undergoing a CNB, the patient develops an hematoma in the breast, together with persistent pain, and/or if a palpable mass is detected after hematoma resolution. 2,3 After breast PA is suspected, a Doppler ultrasound (US) should be preferably performed.…”

Section: Introductionmentioning

confidence: 99%

Pseudoaneurysm of the breast following a core needle biopsy: report of two cases

et al. 2022

Self Cite

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Introduction: Core needle biopsy (CNB) is the gold standard for histopathological diagnosis of breast masses. However, rare complications may occur after undergoing CNB, including hematoma and pseudoaneurysm (PA) of the breast. Cases presentation: Case 1: 66-year-old woman with a left breast mass who underwent a CNB without complications. Around eleven months later, she noticed a palpable and pulsatile mass in her left breast. She was diagnosed with a PA (1.6x1.3 cm) by means of a Doppler ultrasound (US) and a breast magnetic resonance imaging, which was surgically resected without any complication using local anesthesia. Case 2: 44-year-old woman with a left breast mass. After undergoing CNB, she developed ecchymosis and a palpable and pulsatile mass in her left breast. A Doppler US showed a 1.4x0.7 cm cystic lesion suggestive of a breast PA. The mass was surgically resected without complications using local anesthesia and sedation. Conclusion: Breast PA is an extremely rare complication of CNB, with only 17 cases reported in PubMed to date. However, breast PA must be highly suspected in the presence of warning signs such as bleeding, hematoma and a palpable and/or pulsatile breast mass after undergoing CNB.

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Pseudoaneurysm of the breast

Cited by 6 publications

References 13 publications

Breast pseudoaneurysm after core needle biopsy in a pregnant patient

Breast pseudoaneurysm after core needle biopsy in a pregnant patient

Pseudoaneurysm after an ultrasound-guided breast core needle biopsy in a lactating woman

Pseudoaneurysm of the breast following a core needle biopsy: report of two cases

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