17.04.2020 Abscess extreme

Well so these posts are coming at a daily rate.  I didn’t have the time in the last weeks to catch up here at all for all that has been going on so how fitting that after about a solid week of running with difficult cases my wrap up is an extremely large abscess of the breast.  By large I mean we drained about 300 ml of content after partial spontaneous rupture.  This one needed surgical care as opposed to the one I had dealt with last week so an incision and drainage was made at the lowest spot and a wick inserted to prevent closure and enable further draining.  Daily wound care and antibiotics will be necessary as the entire breast is diffusely swollen.  I have never seen one this big before but I guess I’m used to patients coming at the first sign of pain or swelling in the breast. This wraps up one week where we operated every day since Easter Sunday.  Only Easter Monday the operating room stayed closed but we had enough tough cases that day outside of the operating room anyway. 

She is also my C-Section patient from March 30, the difficult case to operate due to all the adhesions and mess on the inside.  You would never know looking at her pretty well healed surgical scar on the outside!

To not cause any surprises regarding pictures I thought I would share a picture of all the market fruits and vegetables we bought for 6 Euros yesterday!

Dragonfruit (20 cents each).  Its somehow a taste mix of kiwi and litschi

Again I'm going to give those a chance not to keen on sensitive content to not continue beyond the next picture that simply shows a nicely healed C-section wound.  The picture after that is of the surgical intervention for the abscess.

Nicely healed C-Section wound about 2 weeks after surgery:

Caution....

Picture of breast drainage...

This depicts the right breast just with incision at the lowest point (right) to allow drainage of the pus and the spontaneous rupture point (left) at the border of the areola.  The patient is being treated with antibiotics, regular breast massage and cooling while still breastfeeding.