Pseudoaneurysm associated with arteriovenous fistula involving a superficial breast arteriole after vacuum-assisted removal of a benign mass: A case report. Issue 36 (September 2018)

• Record Type: Journal Article
• Authors: Li, Yixuan; Wu, Zhoupeng; Yan, Feng; Peng, Yulan; Ma, Lang; Zeng, Guojun; Lv, Qing
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 97:Issue 36(2018)
• Publication Date: 2018-09
• Subjects: arteriovenous fistula -- endovascular therapy -- percutaneous embolization -- pseudoaneurysm -- surgery; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000012250
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: 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.