TY - JOUR AU - Sterioff, Sylvester AB - A galactocele most commonly presents as a breast mass soon after the cessation of lactation. These masses are generally painless and resolve spontaneously within a few weeks to months ( 1 ). Infection of a galactocele is a relatively infrequent complication, requiring antibiotic therapy along with drainage of its contents. A 37‐year‐old woman presented with a tender, left breast mass, fever, and chills 4 weeks after an ultrasound‐guided aspiration of the mass confirmed that it was a galactocele. Oral dicloxacillin was initiated, the galactocele was aspirated again, and the fluid culture was positive for Streptococcus viridans . However, the pain and erythema persisted and the options of repeated aspirations or incision and drainage were considered. Instead, a less invasive procedure was performed by inserting an 8 French, multiple side‐hole pigtail catheter into the galactocele, enabling complete drainage and eradication of the underlying infection. The catheter was removed in 10 days and antibiotics continued for a total of 2 weeks. The dilemma of managing an infected galactocele is that removal of the contents by incision and drainage has a high likelihood of milk fistula formation and the possibility of an unsatisfactory cosmetic outcome. On the other hand, if not TI - Infected Galactocele: A Perplexing Problem JO - The Breast Journal DO - 10.1111/j.1075-122X.2004.21419.x DA - 2004-03-01 UR - https://www.deepdyve.com/lp/wiley/infected-galactocele-a-perplexing-problem-W05vVmgJAI SP - 159 VL - 10 IS - 2 DP - DeepDyve ER -