Editing Breast abscess (section)

== '''Complications''' ==

* Recurrence
* Mammary duct fistula
** Communication between major subareolar duct and the skin, usually in the periareolar region
** Can occur after I+D of a central abscess or after spontaneous drainage
** Seen in smokers, recurrent abscesses
** Fistulotomy or fistulectomy can be done. Fistulectomy gives a better result - see topic under 'breast operations'.
* Milk fistula
** Tract between skin and lactiferous duct after surgical intervention
** Milk drains through skin
** Mainly occurs with big incisions or large drains
** Usually resolves spontaneously
** If persistent, usually resolves with cessation of lactation - wean from that breast and only nurse from other side
* Antibioma
** When treated with antibiotics but not drained, it can become a sterile collection - firm, painless, smooth swelling
** Aspirate it, don't excise it



^ischaemic skin

^pressure necrosis

^thinned skin
[[Category:Breast]]
[[Category:Intern education]]