Weger Kendal L, Sandhu Nicole P, Abdelwahed Mohammed, Lee Christine U
Division of Breast Imaging and Intervention, Department of Radiology, Mayo Clinic, Rochester, MN, USA.
General Internal Medicine, Breast Diagnostic Clinic, Mayo Clinic, Rochester, MN, USA.
Transl Breast Cancer Res. 2025 Jul 15;6:30. doi: 10.21037/tbcr-24-56. eCollection 2025.
Despite the benefits of breastfeeding to both infant and mother, many mothers find breastfeeding difficult secondary to many complications such as pain, breast engorgement, mastitis, and clogged milk ducts. The latter is typically treated conservatively with techniques such as gentle massage, breast pumping, and compresses. When conservative therapies are unsuccessful, more invasive options are considered to ensure the continuation of breastfeeding.
A 34-year-old lactating female presented with a 3-month history of worsening left breast and nipple pain radiating to the left upper outer quadrant, not relieved with conservative therapies. The physical exam revealed a small indentation and a small palpable nodule of the left nipple. There was no associated erythema or redness. Targeted ultrasound and subareolar magnification views revealed findings most consistent with a probably benign inspissated clogged milk duct. Given the patient's history, inability to express milk from the left breast, and plan to lactate for another year, ultrasound-guided aspiration was desired. Post-aspiration images demonstrated complete resolution of the nipple mass. Pathology revealed blood and proteinaceous material, in keeping with the diagnosis of inspissated clogged milk duct. Following the procedure, the patient's symptoms resolved completely.
We present a case of irretractable milk duct plug treated with ultrasound-guided direct aspiration of the plug with complete resolution and minimal side effects to the patient.
尽管母乳喂养对婴儿和母亲都有益处，但许多母亲因疼痛、乳房胀痛、乳腺炎和乳腺管堵塞等多种并发症而觉得母乳喂养困难。后者通常采用轻柔按摩、吸奶器吸奶和热敷等保守方法治疗。当保守治疗不成功时，会考虑更具侵入性的方法以确保母乳喂养能够持续。
一名34岁的哺乳期女性，左乳房和乳头疼痛加剧3个月，疼痛放射至左乳房外上象限，保守治疗未能缓解。体格检查发现左乳头有一个小凹陷和一个可触及的小结节。无相关红斑或发红。针对性超声检查和乳晕下放大视图显示的结果最符合可能为良性的浓缩性乳腺管堵塞。鉴于患者的病史、左乳房无法挤出乳汁以及计划再哺乳一年，希望进行超声引导下抽吸。抽吸后的图像显示乳头肿块完全消失。病理检查显示为血液和蛋白质物质，符合浓缩性乳腺管堵塞的诊断。手术后，患者症状完全缓解。
我们报告了一例通过超声引导下直接抽吸堵塞物治疗难治性乳腺管堵塞的病例，该方法使堵塞物完全消失，且对患者的副作用最小。
