Pseudoaneurysm associated with arteriovenous fistula involving a superficial breast arteriole after vacuum-assisted removal of a benign mass: A case report

    loading  Checking for direct PDF access through Ovid


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.

    loading  Loading Related Articles