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Case report
Bilateral idiopathic granulomatous mastitis
  1. Nikhil Gupta1,
  2. Manu Vats1,
  3. Mradul Garg2 and
  4. Davinder Singh Dahiya3
  1. 1Department of Surgery, PGIMER, Dr Ram Manohar Lohia Hospital, New Delhi, India
  2. 2Department of Minimal Invasive, GI and Bariatric Surgery, Metro Heart Institute with Multispeciality, Faridabad, India
  3. 3Department of Advanced Laparoscopy, Gastrointestinal and Bariatric Surgery, Noble Heart Super Speciality Hospital, Rohtak, India
  1. Correspondence to Dr Mradul Garg; mradul.garg{at}gmail.com

Abstract

A 35-year-old woman presented to the surgery outpatient department with a lump in her right breast for 2 months and pain for 1 month. After clinical examination and relevant investigations, we kept a working diagnosis of antibioma. The lump was excised under local anaesthesia and biopsy was sent. However, histopathological examination reported multiple non-caseating granulomas without acid-fast bacilli. Two months later, she developed a sinus with serous discharge at the scar site. At the same time, she developed pain in the left upper breast, which subsequently progressed to an abscess. Incision and drainage of the abscess was done, but the wound did not heal, and a discharging sinus appeared at the site. Finally, a diagnosis of idiopathic granulomatous mastitis was made, after excluding all other causes, and the patient was prescribed oral steroids. She recovered fully after 8 months and there is no recurrence till date.

  • breast surgery
  • immunology
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Footnotes

  • Contributors NG and DSD conceived the manuscript. MV and DSD prepared the manuscript. NG edited the manuscript. MG reviewed the manuscript. All the authors read and approved the final draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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