PMC7739047_01
(a) Open right breast necrotic wound, with skin sloughing. (b) Erythema extending from the areolar complex to the superior aspect of the right anterior abdominal wall.
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A necrotic open wound was also seen within the lower outer quadrant with foul-smelling drainage surrounded by edema, erythema, and crepitus extending onto the right anterior abdominal wall (Figures 1(a) and 1(b)) The patient was noted to be hypotensive with mild tachycardia.
(a, b) Axial view of Chest CT depicting increased inflammation of the right breast and associated locules of gas along lateral and posterior aspect of breast. (c) Coronal view of Chest CT image showing increased attenuation of the right inferolateral breast tissue with several locules of gas. Images obtained with patient permission.
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A chest computer tomography (CT) ordered by the emergency room physician revealed the right breast wound with several locules of gas within the superficial subcutaneous tissues of the right lateral and posterior breast with minimally increased attenuation of the subcutaneous tissues. (Figures 2(a)-2(c)) These findings were consistent with a necrotizing soft tissue infection, and general surgery was consulted.
Well-healed mastectomy incision seen at 1-month postoperation; drains were removed.
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Drains were removed during outpatient follow-up visit (Figure 3).