Korean J Fam Med.  2021 Jul;42(4):339-341. 10.4082/kjfm.20.0057.

Bloody Nipple Discharge Post Delivery: A Case of “Rusty Pipe Syndrome”

Affiliations
  • 1School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Malaysia
  • 2Women’s Health Development Unit, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Malaysia
  • 3Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Malaysia
  • 4Lactation Secretariat, Hospital Universiti Sains Malaysia, Kubang Kerian, Malaysia

Abstract

“Rusty pipe syndrome” is a condition that needs to be considered in a primiparous woman who presents with bilateral bloody nipple discharge in the early postpartum period. Its prevalence is low and can occur due to physiological condition that arises primarily in primiparous women with increased alveolar and ductal vascularization associated with the onset of lactation. Here, we report a case of a 29-year-old primigravida who presented with bilateral painless bloody nipple discharge after delivery. Her breast examination showed no signs of infection or structural changes, and breast ultrasound did not reveal any significant observations except for a bilateral simple breast cyst. Six days after the onset of lactation, the bloody nipple discharge ceased and lactation continued on demand.

Keyword

Rusty Pipe Syndrome; Bloody Nipple Discharge; Primiparous; Postpartum Period
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