Breast Abscess; Causes to Managment.pptx

This presentation describes breast abscess in concise yet interesting manner. It presents
Introduction
causes
types
non lactating breast abscess
pictorial comparison
clinical manifestations
investigations
management

1. Breast abscess Dr. Shaharyar Latif

2. Definition the inflammation of breast parenchyma which leads to the collection of pus beneath the skin forming a pus filled pocket called breast abscess. 2

3. causes Bacterial cause is most common. Staphylococcus aureus. Bacteria invades the breast tissue by entering through the skin laceration. Invades fatty tissue. Closure of lactiferous sinuses due to epithelialization. Abscess formation and pressure on lactiferous ducts. 3

4. types Lactating abscess: In first 6 weeks of breast feeding. Drainage of milk is reduced causing stagnant milk to become infected Non lactating abscess: Central Peripheral 4

5. Non lactating breast abscess central abscess Young women Peri -ductal mastitis Smoking Cigarette smoke damages sub-areolar lactiferous ducts and damages tissue by aerobic or anaerobic bacteria Peripheral abscess Less common Associated with under lying disease Diabetes Rheumatoid arthritis Steroid treatment trauma 5

6. Pictorial Comparison Central abscess Peripheral abscess 6

7. 7 CLINICAL MANIFESTATIONS Breast engorgement Breast pain Itching Nipple discharge Nipple tenderness Swelling, warmth, redness of breast tissue Tender or enlarged axillary lymph nodes on affected side

8. 9 INVESTIGATIONS Breast ultrasound Hypoechoic lesion Well circumscribed Fine needle aspiration cytology Mammogram

9. 9 MANAGMENT Antibiotics Co- amoxiclav 375mg 8h Clarithromycin 500mg 12h Metronidazole Abscess is aspirated or incised and drained Encourage woman to breastfeed to promote milk drainage

10. Thank you !