Infectious non-puerperal mastitis

Infectious mastitis (periareolar abscess) is the most common form of non-puerperal abscesses and it is recommended that a suction/drainage needle for abscesses under 5 cm, involving antibiotic therapy. For abscesses over 5 cm, there is no evidence to recommend a first surgery or suction/drainage (Laas E., et al., 2015).

Our featured case is a young patient with a nipple piercing who developed a periareolar abscess. The four images below show the piercing, the abscess in two perpendicular planes, the drainage and the result after the drainage.

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The video shows how the insertion of the needle can be performed under ultrasound guidance.



  • Laas E., Touboul C., Kerdraon O., Catteau-Jonard S. Inflammatory and infectious breast mastitis outside of pregnancy and lactation: Guidelines. Journal de Gynecologie Obstetrique et Biologie de la Reproduction2015;44(10):996–1016. doi: 10.1016/j.jgyn.2015.09.055.

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