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.
The video shows how the insertion of the needle can be performed under ultrasound guidance.
Bibliography
- 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 Reproduction. 2015;44(10):996–1016. doi: 10.1016/j.jgyn.2015.09.055.
Gynaecologia 