article = {SCR-2018-3-119}
title = {A Case Report of a Spontaneous Breast Pseudoaneurysm}
journal = {Surgical Case Reports}
year = {2018}
issn = {2613-5965}
doi = {http://dx.doi.org/10.31487/j.SCR.2018.03.119}
url = {https://www.sciencerepository.org/a-case-report-of-a-spontaneous-breast-pseudoaneurysm_SCR-3-119 
author = {Alberto J.  Lopez,Andrew J. Richardson,Neha  Goel,Susan  Kesmodel,}
keywords = {Breast, Pseudoaneurysm, thrombin injection.}
abstract ={Background
Breast pseudoaneurysms are rare and most commonly associated with iatrogenic causes such as core
needle or surgical excisional biopsies. Other causes include blunt force trauma, breast implants, or
underlying malignancy. This report describes the presentation and management of a spontaneous breast
pseudoaneurysm.
Case Presentation
A 55-year-old female with a past medial history of hypertension and hyperlipidemia presented to the
emergency department with sudden onset of a pulsatile left breast mass after a coughing spell. Doppler
ultrasound (US) revealed a pulsatile vascular structure with internal arterial waveforms concerning for a
breast pseudoaneurysm. The patient underwent a chest computed tomography angiogram (CTA) that
confirmed a pseudoaneurysm arising from the left internal mammary artery. Mammography and target
ultrasound showed no findings suggestive of underlying malignancy. Conservative management with
compression was initiated resulting in partial thrombosis. Repeat doppler US showed persistent internal
flow, and therefore, US-guided thrombin injection was performed by vascular surgery with complete
thrombosis.
Conclusion
Breast pseudoaneurysms can occur spontaneously and can be managed with both conservative and
local invasive interventions. }