Open AccessPseudoaneurysm associated with arteriovenous fistula involving a superficial breast arteriole after vacuum-assisted removal of a benign mass
Author(s) -
Yixuan Li,
Zhoupeng Wu,
Feng Yan,
Yulan Peng,
Lang Ma,
Guojun Zeng,
Qing Lv
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000012250
Subject(s) - medicine , pseudoaneurysm , arteriovenous fistula , surgery , radiology , percutaneous , breast biopsy , biopsy , breast cancer , aneurysm , mammography , cancer
Rationale: Pseudoaneurysm (PA) with associated arteriovenous fistula (AVF) is most often secondary to vascular catheterization, percutaneous biopsy, surgery, or trauma. PA-AVF occurs mainly in large or median arterial territories but rarely in the superficial arterioles of the breast. Patient concerns: A 30-year-old woman underwent vacuum-assisted removal of breast fibroadenomas under ultrasonic guidance. On the follow-up visit, the patient complained of a painful enlarging lump in her left breast. Diagnoses: An iatrogenic breast PA-AVF was diagnosed. Interventions: The patient was treated with surgical excision and ligation under local anesthesia. Outcomes: At the 1-month follow-up, the wound was found to have healed well, and breast PA-AVF was eradicated. Lessons: Vacuum-assisted removal has been the first-line intervention for benign mass resection because of minimal invasion, but the risk of serious vascular complications remains. Careful duplex ultrasound examination prior to the procedure is highly recommended.