Case Report
Copyright ©The Author(s) 2023.
World J Clin Cases. Mar 16, 2023; 11(8): 1847-1856
Published online Mar 16, 2023. doi: 10.12998/wjcc.v11.i8.1847
Table 2 Characteristics of similar cases
Ref.
Interventions
Population characteristics
Breastfeeding cessation rate
Outcome
Pileri et al[19], 2022B-ultrasound guided fine needle puncture13 of the 64 patients needed hospitalization, 4 cases of bilateral abscesses, 16 cases with the largest abscess diameter greater than 5 cmThe average breastfeeding time was 5 mo, and 40.6% of females with breast abscesses continued to breastfeed for more than 6 mo. 21 mothers stopped breastfeedingAll abscesses > 5 cm in diameter were positive for Staphylococcus aureus, 56% of which were antibiotic resistant. All patients received antibiotic treatment, 71.9% (46/64) of them underwent fine needle aspiration
Colin et al[29], 2019The same as above, if necessary, VAB shall be used92 lactating women, 105 abscesses in total, 82 of 92 patients (89%) had 1 abscess, 10 patients (11%) had 2 or more abscesses (range, 2-4 cm). 4 patients had bilateral abscesses18% of women stop breastfeedingA total of 202 ultrasound-guided fine-needle puncture operations were performed. The number of percutaneous punctures/aspirates per abscess ranged from 1% to 6.4% of patients failed puncture and received incision and drainage surgery
Elagili et al[30], 2007The same as above, if necessary, abscessotomy shall be used16 (53.3%) non-lactating women and 14 (46.7%) lactating women had abscess diameters ranging from 1 cm to 15 cm (median: 4 cm). The volume of pus was between 1 mL and 200 mL (median: 14 mL)Breastfeeding was encouraged, but rates of continuing or stopping breastfeeding were not recorded15 patients (50%) only needed one aspiration, 10 patients needed multiple aspiration, and 5 patients needed incision and drainage. Mean symptom duration was 11.63 d (range: 3-28 d)
Hagiya et al[31], 2014Operative incision and drainageA 27-year-old Japanese female presented with high fever, tender breast, red and swollen left breast 17 d after deliveryStopped breastfeedingCeftriaxone, daptomycin, vancomycin and other antibiotics were used for intravenous drip successively. Surgical incision was performed to drain about 15 mL of purulent secretion. The patient was discharged on the 10th d and took clindamycin orally
Wang et al[32], 2013VAB40 cases of lactation and 30 cases of non-lactation breast abscess who failed to use antibiotics and/or needle aspirationStopped breastfeeding during drainageThe skin inflammation disappeared within 6 d in all patients (median: 3.02 ± 6.65 d)
Kang and Kim[15], 2016Fine needle aspiration vs VABFine needle aspiration in 25 patients with breast abscess and VAB in 19 patients with breast abscessNo information about breastfeedingCompared with the VAB group, the cure rate of the needle aspiration group had no significant difference
Lou et al[13], 2022Arthroscopic system19 cases of breast abscess in lactation1 patient with breast fistula stopped breastfeeding, the other 18 patients resumed breastfeeding within 2 wk, of which 13 patients resumed breastfeeding within 1 wkAll patients were cured and did not recur during the 6-mo follow-up period. 1 patient stopped breastfeeding due to milk fistula, and the rest were cured