Compression-Refractory Breast Hematoma Secondary to Pseudoaneurysm After Stereotactically Guided Vacuum-Assisted Biopsy: The Critical Role of Urgent Surgical Evacuation

作者：Sun Simon; Hennessey Hooman; Nakch Idris Kam; Alsharif Shaza; Meterissian Sarkis; Mesurolle Benoit^*

来源：Journal of Clinical Ultrasound, 2014, 42(8): 492-494.

DOI：10.1002/jcu.22202

• vacuum-assisted biopsy
• breast ultrasonography
• pseudoaneurysm
• drainage
• hematoma

We report the case of a patient who underwent a vacuum-assisted biopsy of amorphous clustered microcalcifications complicated by a large compression-refractory hematoma secondary to pseudoaneurysm formation. Breast sonography was used to identify an actively bleeding vessel and guide compression. However, due to its unresponsiveness to conventional management and rapid progression, the hematoma required surgical evacuation and ligation of the bleeding vessel. This suggests that, in the face of significant intractable bleeding, a heightened awareness of the possible need for surgical intervention should be maintained.

• 出版日期2014-10
• 单位McGill