• Janardan Prasad Joshi, Lila Joshi, Hira Joshi, Ashok Prasad Sah, and Thaneshor Neupane.
• Department of General Surgery, Mahakali Provincial Hospital, Mahendranagar, Kanchanpur, Nepal.
• JNMA J Nepal Med Assoc. 2024 Feb 24; 62 (270): 136138136-138.

UnlabelledIdiopathic granulomatous mastitis is a rare benign breast disease of unknown aetiology mostly presenting as a breast abscess but not responding to usual conservative management with incision and drainage and frequently mimics breast cancer. We present a case 31-year-old female presented with complaints of right breast pain and redness who was initially diagnosed and treated as a case of breast abscess with repeated incision and drainage and antibiotics but did not improve. Later histopathology revealed granuloma with giant cell reaction and the patient was given a trial of steroids which showed no improvement. Wide local excision with a long course of broad-spectrum antibiotics was performed which led into remission. This case report highlights the importance of considering idiopathic granulomatous mastitis as differentials in non-responding breast abscesses. Histopathology for diagnosis and trial of wide local excision with a long course of broad-spectrum antibiotics as treatment may be done for management.Keywordsantibiotics; case reports; granuloma; mastitis.

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