Spontaneous breast hematoma as a complication of anticoagulation therapy requiring angiography and embolization

Dunlap, Robert E.; Kisner, C. D.; Georgiades, Christos; Demmert, Andrew C.; Lyons, Gray R.

doi:10.1016/j.clinimag.2020.07.023

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…The arterial breast supply comes mainly from the perforating branches of the internal mammary artery, lateral thoracic artery, superior thoracic artery, acromiothoracic artery and lateral branches of posterior intercostal artery 6 9 11. Internal mammary pseudoaneurysms are rare and due to rapid growth.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous rupture of breast pseudoaneurysm: a rare case

Mafra,

Pires,

Andrade

et al. 2023

BMJ Case Rep

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Ehlers-Danlos syndrome (EDS) type IV is a hereditary autosomal dominant disease associated with skin and vascular fragility, hyperextensibility and joint hypermobility. Spontaneous arterial rupture is one of its higher-risk features.The authors describe a case of a woman with EDS type IV who presented with a spontaneous breast haematoma associated with a pseudoaneurysm of a branch of the left internal mammary artery. The patient underwent a minimally invasive endovascular approach that was uneventful. However, 6 months later, she presented in the emergency room with a similar episode on the contralateral breast. There were no signs of active bleeding, and she stayed under surveillance. Nine months later, she was asymptomatic.Aneurysms of branches of the internal mammary artery are rare and prone to rupture. Early diagnosis and treatment are imperative, and this case demonstrates that an endovascular approach is a safe treatment option.

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Section: Discussionmentioning

confidence: 99%

“…Breast haematomas are rare and they usually occur after trauma, contusion, surgery or fine needle aspiration puncture 5 6. They are more common in the presence of coagulation disorder such as anticoagulation medication or thrombocytopenia 5…”

Section: Introductionmentioning

confidence: 99%

Spontaneous rupture of breast pseudoaneurysm: a rare case

Mafra,

Pires,

Andrade

et al. 2023

BMJ Case Rep

View full text Add to dashboard Cite

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Enoxaparin sodium

2020

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Multimodality imaging of breast hematomas and their mimickers

Molière

2022

BJR

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While breast hematomas are common, their imaging features are often underrecognized or mistaken for other conditions. Diagnosis of acute hematomas is generally easy when associated with a recent history of breast trauma, surgery, or percutaneous biopsy. However, minor trauma might not always be remembered, and breast hematoma might have long lasting imaging manifestations when associated with fat necrosis. Also, because of the increasing use of breast MRI and FDG-PET/CT, breast hematomas are increasingly detected as incidentalomas, and may mimic malignancies. Conversely, breast hematomas may also be associated with authentic malignant processes. In this pictorial review, we present the natural history of breast hematomas, their various imaging features, as well as their differential diagnoses, highlighting the situations requiring histopathological correlation.

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Spontaneous breast hematoma as a complication of anticoagulation therapy requiring angiography and embolization

Cited by 5 publications

References 8 publications

Spontaneous rupture of breast pseudoaneurysm: a rare case

Spontaneous rupture of breast pseudoaneurysm: a rare case

Enoxaparin sodium

Multimodality imaging of breast hematomas and their mimickers

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