SIRRFS

Radiology

71 year old female presented for an ultrasound (US) guided biopsy of an oval-shaped mass in her left breast. Successful stereotactic biopsy of the mass in the left breast was performed. Post-procedural #US demonstrated a 8.72 cm hematoma (Figure 1). Manual pressure was unable to control bleeding and #CTA revealed a large hematoma in the left breast with active arterial bleeding evidenced by extravasation of contrast media into the hematoma (Figure 2).

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1. Conservative management carries a mortality rate of 50%–100%. Reported mortality rates for surgery range from 7.1% to 18.2%. Mortality rate is up to 40% for emergency procedures.
2. Polyvinyl alcohol embolization particles (300-5oo μm) are the most common followed by gelfoam. Liquid embolic agents and coils are usually not used.