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Subareolar abscess can develop both during lactation or extrapuerperal, the abscess is often flaring up and down with repeated fistulation.
Typical usage in North America is a synonym of nonpuerperal mastitis, including the special cases of granulomatous mastitis, comedo mastitis, subareolar abscess with or without squamous metaplasia of lactiferous ducts and fistulation.
A single early pouch cutaneous fistula was the result of a partial ileoanal anastomotic dehiscence and pelvic sepsis; her postoperative treatment required multiple admissions for recurrent fistulation and bowel obstruction, but the fistula has been excised and she now has goo pouch function.