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Mentions: A 44-year-old woman was admitted to our surgery department with a painful mass in the subareolar area of the left breast. The patient had undergone a surgical incision and drainage of a subareolar abscess 6 months prior (Fig. 1A). Following that procedure, she complained of occasional pain in her left breast. There was a hard and fixed mass in the left subareolar area on physical examination. Breast ultrasonography revealed an ill-defined, hypoechoic lesion with tubular-shaped parallel hyperechoic lines and a reverberation artifact, suggesting a retained drain (Fig. 1B). A craniocaudal view of mammographic images of the left breast demonstrated a high density foreign body in the left subareolar area (Fig. 1C). We confirmed the object to be a silastic drain which was then removed by surgical excision. Histopathologic findings showed a granuloma with surrounding minimal foreign body reaction.
Peculiar Mammographic and Ultrasonographic Findings of a Retained Silastic Drain in the Breast
Bottom Line: Foreign bodies, such as surgical sponges or drains, are sometimes retained after surgical procedures.1 Retention of a drain in the breast tissue postoperatively is an unusual complication.This report describes two cases of characteristic sonographic findings related to retained silastic drains following breast surgery.
Affiliation: Department of Diagnostic Radiology, Yonsei University College of Medicine, Shinchon Severance Hospital, 134 Shinchon-dong, Soedaemun-gu, Seoul 120-752, Korea.
Foreign bodies, such as surgical sponges or drains, are sometimes retained after surgical procedures.1 Retention of a drain in the breast tissue postoperatively is an unusual complication. This report describes two cases of characteristic sonographic findings related to retained silastic drains following breast surgery.
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