OBJECTIVE

To study such a rare complication as lactational mastitis after mammoplasty.

MATERIAL AND METHODS

We present bilateral lactational mastitis in 12 days after primary augmentation mammoplasty through periareolar access. Symptoms included hyperemia, subfebrile fever, painful sensations, as well as release of milk from the nipples and postoperative suture. Laboratory data included increase in serum prolactin and markers of inflammation. Treatment included implant removal, dressings and therapy with dopamine receptor agonists. Later diagnosis revealed pituitary microadenoma.

RESULTS AND DISCUSSION

Periareolar access significantly increases the risk of lactational mastitis. Analysis of prolactin should be included in preoperative management. In doubtful cases, additional examination with participation of other specialists is necessary.

CONCLUSION

Lactational mastitis is a serious complication. Lactational mastitis requires surgical algorithm similar to infectious mastitis. This disease is polyetiological and implies prevention and treatment taking into account pharmacological correction of endocrine disorders.

Keywords. lactational mastitis, augmentation mastopexy, galactorrhea, prolactin, mammoplasty