Publication: Recurrent Idiopathic Granulomatous Mastitis: A Case Report
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Idiopathic granulomatous mastitis is a rare benign breast disease of unknown aetiology mostly presenting as a breast abscess but not responding to usual conservative management with incision and drainage and frequently mimics breast cancer. We present a case 31-year-old female presented with complaints of right breast pain and redness who was initially diagnosed and treated as a case of breast abscess with repeated incision and drainage and antibiotics but did not improve. Later histopathology revealed granuloma with giant cell reaction and the patient was given a trial of steroids which showed no improvement. Wide local excision with a long course of broad-spectrum antibiotics was performed which led into remission. This case report highlights the importance of considering idiopathic granulomatous mastitis as differentials in non-responding breast abscesses. Histopathology for diagnosis and trial of wide local excision with a long course of broad-spectrum antibiotics as treatment may be done for management.
Description
Janardan Prasad Joshi
Department of General Surgery, Mahakali Provincial Hospital, Mahendranagar, Kanchanpur, Nepal
Lila Joshi
Lele Primary Health Care Centre, Lele, Lalitpur, Nepal
Hira Joshi
Baitadi District Hospital, Dasharathchanda, Baitadi, Nepal
Ashok Prasad Sah
Matrishishu Miteri Hospital, Pokhara, Kaski, Nepal
Thaneshor Neupane
Baitadi District Hospital, Dasharathchanda, Baitadi, Nepal