PMC9823132_01
Gross appearance of the breast on physical examination.
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On examination, she had fever with a temperature of 38.7  C, blood pressure 90/50, tachycardia with a pulse rate 120/min, and tachypnea with a respiratory rate 32/min. on breast examination, the whole right breast was swollen and the skin over the right breast, especially the central circum-areolar area, was grossly necrotic with ruptured and un-ruptured bullae (Fig. 1, Fig. 2).
Intraoperative picture showing pus mixed with milk.
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Dark foul-smelling fluid came out upon opening the skin and there was pus mixed with milk (Fig. 3).
Pathology picture showing lobular destruction.
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The histopathology of the specimen showed intense neutrophilic inflammation at areas forming micro-abscess, lobular destruction, and granulation tissue formation (Fig. 4, Fig. 5).
5th post-operative day.
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However, she made a remarkable recovery after that, and the wound improved significantly and no unanticipated events happened (Fig. 6), and she was discharged after 10 days of hospital stay.
21st post-operative day.
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On subsequent follow up the wound became well granulated (Fig. 7) and split thickness skin graft done.