Breast Hematoma: Symptoms, Causes, Treatment

What are the symptoms of a breast hematoma?

A breast hematoma is a collection of blood within the breast tissue, usually caused by an injury or trauma to the breast. Symptoms of a breast hematoma can include:

1. Pain: The most common symptom is pain in the affected breast, which may be severe and sudden if it occurs due to trauma.
2. Swelling: There may be swelling and bruising in the breast area where the hematoma has formed.
3. Discoloration: The skin over the hematoma may appear bruised, bluish, or red in color.
4. Tenderness: The breast may be tender to the touch, and the area of the hematoma may feel firm or lumpy.
5. Warmth: The skin over the hematoma may feel warm to the touch due to inflammation.
6. Visible lump: In some cases, a palpable lump or mass may be felt in the breast where the hematoma has formed.
7. Fever: If the hematoma becomes infected, it may be accompanied by fever and other signs of infection, such as redness and swelling.

It’s important to note that not all breast hematomas cause noticeable symptoms, especially if they are small or located deep within the breast tissue. If you experience symptoms of a breast hematoma, especially if they are severe or persistent, it’s important to seek medical attention for proper evaluation and treatment.

What are the causes of a breast hematoma?

A breast hematoma is usually caused by trauma or injury to the breast, which can result in damage to blood vessels and bleeding within the breast tissue. Some common causes of breast hematomas include:

1. Blunt trauma: A direct blow or impact to the breast, such as from a fall, sports injury, or car accident, can cause blood vessels to rupture and lead to a hematoma.
2. Surgical procedures: Breast surgery, such as breast augmentation, reduction, or biopsy, can sometimes cause bleeding that results in a hematoma.
3. Breastfeeding: Vigorous breastfeeding or improper use of a breast pump can cause damage to blood vessels in the breast, leading to a hematoma.
4. Medication: Certain medications, such as blood thinners or anticoagulants, can increase the risk of bleeding and hematoma formation, especially after trauma or surgery.
5. Underlying medical conditions: Some medical conditions, such as blood clotting disorders or breast cancer, can increase the risk of spontaneous bleeding and hematoma formation in the breast.
6. Needle biopsy: In some cases, a hematoma can occur after a needle biopsy of the breast, especially if there is significant bleeding at the biopsy site.

It’s important to seek medical attention if you suspect you have a breast hematoma, especially if it is causing severe pain, swelling, or other symptoms. Your healthcare provider can perform a physical examination and may recommend imaging tests, such as ultrasound or MRI, to confirm the diagnosis and determine the best course of treatment.

What is the treatment for a breast hematoma?

Treatment for a breast hematoma depends on the size, severity, and underlying cause of the hematoma. In many cases, small hematomas may resolve on their own without specific treatment. However, for larger or more symptomatic hematomas, treatment options may include:

1. Observation: If the hematoma is small and not causing significant symptoms, your healthcare provider may recommend monitoring it to see if it resolves on its own.
2. Pain management: Over-the-counter pain relievers such as acetaminophen or ibuprofen may help relieve pain and discomfort associated with the hematoma.
3. Cold compress: Applying a cold compress to the affected breast can help reduce swelling and alleviate pain.
4. Compression: Wearing a well-fitting bra or using a compression bandage can help reduce swelling and provide support to the breast.
5. Drainage: If the hematoma is large or causing significant discomfort, your healthcare provider may drain the hematoma using a needle and syringe to remove the accumulated blood. This procedure is known as aspiration.
6. Surgery: In some cases, especially if the hematoma is large or does not resolve with other treatments, surgical drainage or removal of the hematoma may be necessary.

It’s important to follow your healthcare provider’s recommendations for treatment and follow-up care. In some cases, especially if there is an underlying cause for the hematoma, further evaluation or treatment may be necessary to prevent recurrence.