Idiopathic Primary Necrotizing Fasciitis of the Breast: A Case Report
원영주, 황지영, 문진희, 안수경, 양익, 우지영,
소속 상세정보
원영주 ( Won Young-Joo )
Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Radiology
황지영 ( Hwang Ji-Young )
Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Radiology
문진희 ( Moon Jin-Hee )
Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Radiology
안수경 ( Ahn Soo-Kyung )
Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of General Surgery
양익 ( Yang Ik )
Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Radiology
우지영 ( Woo Ji-Young )
Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Radiology
Abstract
Necrotizing fasciitis (NF) is a life-threatening infection characterized by extensive necrosis and inflammation of subcutaneous tissue and the fascia. Only a few cases of NF in the breast have been reported, and imaging findings of primary breast NF have not been described in the literature. As primary NF in the breast is extremely rare, it can be misdiagnosed as an abscess or cellulitis, and its diagnosis may be delayed. However, early diagnosis is crucial because delays can lead to fatal sepsis or requirement for total mastectomy. Herein, the authors report a rare case of primary breast NF that was diagnosed early using enhanced breast CT and successfully managed with local debridement. CT revealed a large cystic mass with an air-fluid level, a thickened deep fascia without remarkable enhancement, and extensive subcutaneous emphysema with subcutaneous fat infiltrations in the right breast.
키워드
Necrotizing Fasciitis; Breast; Inflammation
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