Primary Chest Wall Abscess Mimicking a Breast Tumor That Occurred after Blunt Chest Trauma: A Case Report

Primary chest wall abscess occurring after blunt chest trauma is rare. We present the case of a 50-year-old woman who presented with a swelling in her left breast. The patient had experienced blunt chest trauma 2 months back. Needle aspiration revealed pus formation in the patient’s chest. Computed...

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Main Authors: Yusuke Yamaoka, Jun Yamamura, Norikazu Masuda, Hiroyuki Yasojima, Makiko Mizutani, Shoji Nakamori, Toru Kanazawa, Keiko Kuriyama, Masayuki Mano, Mitsugu Sekimoto
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2014/620876
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author Yusuke Yamaoka
Jun Yamamura
Norikazu Masuda
Hiroyuki Yasojima
Makiko Mizutani
Shoji Nakamori
Toru Kanazawa
Keiko Kuriyama
Masayuki Mano
Mitsugu Sekimoto
author_facet Yusuke Yamaoka
Jun Yamamura
Norikazu Masuda
Hiroyuki Yasojima
Makiko Mizutani
Shoji Nakamori
Toru Kanazawa
Keiko Kuriyama
Masayuki Mano
Mitsugu Sekimoto
author_sort Yusuke Yamaoka
collection DOAJ
description Primary chest wall abscess occurring after blunt chest trauma is rare. We present the case of a 50-year-old woman who presented with a swelling in her left breast. The patient had experienced blunt chest trauma 2 months back. Needle aspiration revealed pus formation in the patient’s chest. Computed tomography revealed a mass in the lower region of the left mammary gland, with thickening of the parietal pleura and skin and fracture of the fifth rib under the abscess. Following antibiotic administration and irrigation of the affected region, surgical debridement was performed. During surgery, we found that the pectoralis major muscle at the level of the fifth rib was markedly damaged, although the necrotic tissue did not contact the mammary gland. We diagnosed the lesion as a chest wall abscess that occurred in response to blunt chest trauma. Her postoperative course was uneventful. There has been no recurrence for six months after surgery.
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institution Kabale University
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language English
publishDate 2014-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-13748c9b53ac4e7ba0b1897fe13aae2c2025-08-20T03:55:44ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/620876620876Primary Chest Wall Abscess Mimicking a Breast Tumor That Occurred after Blunt Chest Trauma: A Case ReportYusuke Yamaoka0Jun Yamamura1Norikazu Masuda2Hiroyuki Yasojima3Makiko Mizutani4Shoji Nakamori5Toru Kanazawa6Keiko Kuriyama7Masayuki Mano8Mitsugu Sekimoto9Department of Surgery, National Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanDepartment of Surgery, Breast and Endocrine Surgery, Sakai City Hospital, 1-1-1 Minamiyasuicho, Sakai-ku, Sakai-shi, Osaka 590-0064, JapanDepartments of Surgery and Breast Oncology, National Hospital Organization Osaka National Hospital, 2-15, Yamadaoka, Suita-shi, Osaka 565-0871, JapanDepartments of Surgery and Breast Oncology, National Hospital Organization Osaka National Hospital, 2-15, Yamadaoka, Suita-shi, Osaka 565-0871, JapanDepartments of Surgery and Breast Oncology, National Hospital Organization Osaka National Hospital, 2-15, Yamadaoka, Suita-shi, Osaka 565-0871, JapanDepartment of Surgery, National Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanDepartment of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanDepartment of Radiology, National Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanDepartment of Central Laboratory and Surgical Pathology, National Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanDepartment of Surgery, National Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanPrimary chest wall abscess occurring after blunt chest trauma is rare. We present the case of a 50-year-old woman who presented with a swelling in her left breast. The patient had experienced blunt chest trauma 2 months back. Needle aspiration revealed pus formation in the patient’s chest. Computed tomography revealed a mass in the lower region of the left mammary gland, with thickening of the parietal pleura and skin and fracture of the fifth rib under the abscess. Following antibiotic administration and irrigation of the affected region, surgical debridement was performed. During surgery, we found that the pectoralis major muscle at the level of the fifth rib was markedly damaged, although the necrotic tissue did not contact the mammary gland. We diagnosed the lesion as a chest wall abscess that occurred in response to blunt chest trauma. Her postoperative course was uneventful. There has been no recurrence for six months after surgery.http://dx.doi.org/10.1155/2014/620876
spellingShingle Yusuke Yamaoka
Jun Yamamura
Norikazu Masuda
Hiroyuki Yasojima
Makiko Mizutani
Shoji Nakamori
Toru Kanazawa
Keiko Kuriyama
Masayuki Mano
Mitsugu Sekimoto
Primary Chest Wall Abscess Mimicking a Breast Tumor That Occurred after Blunt Chest Trauma: A Case Report
Case Reports in Medicine
title Primary Chest Wall Abscess Mimicking a Breast Tumor That Occurred after Blunt Chest Trauma: A Case Report
title_full Primary Chest Wall Abscess Mimicking a Breast Tumor That Occurred after Blunt Chest Trauma: A Case Report
title_fullStr Primary Chest Wall Abscess Mimicking a Breast Tumor That Occurred after Blunt Chest Trauma: A Case Report
title_full_unstemmed Primary Chest Wall Abscess Mimicking a Breast Tumor That Occurred after Blunt Chest Trauma: A Case Report
title_short Primary Chest Wall Abscess Mimicking a Breast Tumor That Occurred after Blunt Chest Trauma: A Case Report
title_sort primary chest wall abscess mimicking a breast tumor that occurred after blunt chest trauma a case report
url http://dx.doi.org/10.1155/2014/620876
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