Recurrent spontaneous breast hematoma: report of a case and review of the literature

Authors

  • Marilu Stimamiglio Kanegusuku Federal University of Paraná; Discipline of Radiology
  • Dirceu Rodrigues Federal University of Paraná; Discipline of Radiology
  • Linei Augusta B. Dellê Urban Federal University of Paraná; Discipline of Radiology
  • Alexandre Bossmann Romanus Federal University of Paraná; Discipline of Radiology
  • Rodrigo Peres Pimenta Federal University of Paraná; Discipline of Radiology
  • Michelle Gusmão de Assis Federal University of Paraná; Discipline of Radiology
  • Karla Alessandra Ferrari Federal University of Paraná; Discipline of Radiology

DOI:

https://doi.org/10.1590/S0041-87812001000600004

Keywords:

Breast, Hematoma, Hematologic disease, Paroxysmal nocturnal hemoglobinuria

Abstract

BACKGROUND: Breast hematomas are common after traumas, surgeries, or contusions. They are rarely spontaneous, but they can occur spontaneously in patients with hematologic disease or with coagulation disorders. MATERIAL AND METHODS: The authors report a clinical case of a 48-year-old female with a 27-year history of paroxysmal nocturnal hemoglobinuria who underwent mammography screening because of a painless palpable moveable node in the upper inner quadrant of the right breast. RESULTS: Mammography showed a partially defined heterogeneous node of 35 mm without microcalcifications in the upper inner quadrant of the right breast which, associated with the clinical features, seemed to be an hematoma. Further mammography and ultrasound after 45 days showed retrocession of the lesion, and another mammography obtained after 60 days was normal. Seventy-five days after the first episode, the patient complained of another node with a skin bruise in the upper outer quadrant of the same breast, which seemed to be a recurrent hematoma. Two months later the mammography obtained was normal. CONCLUSION: Breast hematoma must be thought of as a differential diagnosis for a breast node, regardless of previous trauma or hematologic disorders.

Downloads

Published

2001-12-01

Issue

Section

Case Reports

How to Cite

Recurrent spontaneous breast hematoma: report of a case and review of the literature . (2001). Revista Do Hospital Das Clínicas, 56(6), 179-182. https://doi.org/10.1590/S0041-87812001000600004