O91.13
Abscess of breast associated with lactation
Clinical Classification Guidelines
Inclusion Terms
- Mammary abscess associated with lactation
- Purulent mastitis associated with lactation
- Subareolar abscess associated with lactation
Medical Intelligence & Overview
An abscess of the breast linked to lactation, also known as a mammary abscess, is a localized collection of pus within the breast tissue. It typically occurs in women who are breastfeeding and results from infection that causes inflammation and infection of the milk ducts or glandular tissue. This condition can cause significant discomfort and requires appropriate medical attention to manage effectively. Although it is a manageable condition, early diagnosis and treatment are essential to prevent complications.
Causes & Symptoms
Clinical Causes: Bacterial infection, most commonly by *Staphylococcus aureus* Blocked milk ducts leading to localized infection Cracks or fissures on the nipple providing entry points for bacteria Poor breast hygiene or skin breaches in the breast area Previous breast skin injuries or surgeries that may predispose to infection Inadequate drainage of milk from the breast
Key Symptoms: Localized swelling, redness, and tenderness in the breast Presence of a firm, painful lump within the breast tissue Skin on the affected area may appear shiny or stretched Fever and chills in some cases Discharge from the nipple, which may be pus-like Feeling of warmth and discomfort in the affected breast General feelings of fatigue or malaise
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves physical examination to assess the affected area, coupled with the patient's medical history, especially recent breastfeeding. Imaging studies such as ultrasound are often used to confirm the presence of an abscess and determine its size and location. In some cases, a sample of the pus may be taken for laboratory analysis to identify the causative bacteria, guiding appropriate treatment. Healthcare providers may also rule out other breast conditions that mimic abscess symptoms, such as tumors or cysts.
Treatment Protocols: Management of a lactational breast abscess generally includes the following approaches: - **Antibiotic therapy**: To treat the bacterial infection, tailored according to the bacteria identified or suspected. - **Drainage of abscess**: In many cases, the abscess needs to be drained either via needle aspiration or incisional drainage to remove the pus and reduce pressure. - **Continued breastfeeding**: Often encouraged to promote drainage of the infected milk, unless instructed otherwise by a healthcare provider. - **Pain management**: Use of analgesics to alleviate discomfort. - **Proper breast hygiene**: Keeping the breast clean and dry to prevent further infection. - **Monitoring and follow-up**: To ensure healing and address any recurrence or complications. In some situations, hospitalization may be necessary if the infection is severe or not responding to initial treatments. Surgical intervention might be needed for recurrent or complicated abscesses.
Clinical Advice & FAQs
Billing Guidance
Is O91.13 a billable ICD-10 code?
Yes, O91.13 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O91.13?
Clinical documentation must specify the nature of Abscess of breast associated with lactation and any associated comorbidities for accurate reporting.
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