Radiology Case Reports (Sep 2022)

Pseudoaneurysm of the breast following blind palpation-guided core needle biopsy: a case report and literature review

  • Adeleye Dorcas Omisore, MBBS, MSc, FWACS, FMCR,
  • Olalekan Olasehinde, MBChB, MSc, FWACS, FMCS,
  • Anuoluwapo Gbadura Towoju, MBBS,
  • Roli Yetunde Akinsulore, MBChB,
  • Ayorinde Christopher Fadirepo, MBChB,
  • Oluwatosin Zainab Omoyiola, MBChB, FMCP

Journal volume & issue
Vol. 17, no. 9
pp. 3385 – 3388

Abstract

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Core needle biopsy is currently the most widely used basic diagnostic method for the diagnosis of breast masses; it is a minimally invasive procedure with excellent specificity and sensitivity and negligible complication rates, particularly when image-guided. However, complications tend to be higher when performed blindly. Hematoma remains the most common complication resulting from this procedure. Iatrogenic pseudoaneurysm is a rare complication with no previous report in Nigeria. In this report, we present a case of breast pseudoaneurysm occurring after 2 blind, palpation-guided core needle biopsies in a 51-year-old known hypertensive woman at a Nigerian tertiary hospital. Spontaneous thrombosis of the pseudoaneurysm occurred over three months after the second blind biopsy.

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