<From the very beginning I had wonder if because the nipple anatomy was
abnormal could there be areas of the breast not draining, no outlets, and
causing all the problems.  ....
Where did I go wrong, what should I have seen or done differently? >

Crystal, You are probably right to think that her anatomy may have played a 
part in poor drainage of the breast.
But there is no reason to think you should have done something differently.
We have to remember that mastitis (when it is infective) is usually caused 
by Staphylococcus aureus and this is an organism that has a tendency to 
develop abscesses.
Most likely the surgeon would have sent specimens to the lab, which would 
have identified the S. aureus as MRSA if this was the case.
For a discussion of breast abscesses see my article in BJOG:
 Amir LH, Forster D, McLachlan H, Lumley J. Incidence of breast abscess in 
lactating women: report from an Australian cohort. BJOG. 2004 
Dec;111(12):1378-81.

Lisa Amir, MBBS MMed, IBCLC in Melbourne, Australia 

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