PMC6104589_01
Right breast after incision and drainage with drain placement. Multiple nodules are present extending from the areola to the breast.
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She was taken to the operating room and underwent incision and drainage of the right breast and placement of a Jackson Pratt drain (Fig. 1).
Right breast after wide local debridement. The fatty tissue of the breast is replaced with fibrotic scarring. The nipple and most of the areola was able to be preserved.
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Given her unrelenting condition, she was taken to the operating room for a wide local debridement and excision of the affected area (Fig. 2) with continuous fetal monitoring.
A deep dermal follicular cyst associated with chronic inflammation (hematoxylin - eosin, x100).
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Pathology revealed acute on chronic inflammation with areas of organizing abscesses (Fig. 3, Fig. 4) but no evidence of any organism on gram stain or cultures.
Right breast 16 days after primary closure. There are no signs of recurrent or persistent infection. The scars from the interrupted sutures are expected to improve over time.
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She was seen 14 days post-operatively for suture removal and her wound was healing well without any signs of infection (Fig. 5).