Bilateral idiopathic granulomatous mastitis

Objective: Report a patient’s case with bilateral idiopathic granulomatous mastitis, with no recent history of pregnancy or breastfeeding. Case Report: 30-year-old white female patient, with 5 pregnancies and 5 childbirths, with the last pregnancy two years ago, without recent breastfeeding history. The patient was referred to specialized mastology service after treatment attempts without improvement. She presented three fistulized nodules in the left breast, painful and with purulent secretion. After a few monitorings with improvement and relapse charts in the left breast, she also presented involvement in the right breast, evidenced by histopathology, excluding other causes of granulomatous mastitis. Final considerations: This disease has uncertain treatment, that varies between expectant management, drug treatment and surgical interventions. The disease causes intense pain, has prolonged resolution and causes frustration to the doctor, who is often unable to solve the problem. It compromises the patient’s quality of life and distorts her body image.