“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.

Citations

• Nursing care for women with rusty-pipe syndrome: About a case
  Lidia Sanz Durán
  Enfermería Clínica (English Edition).2023; 33(6): 438.     CrossRef
• Atención enfermera a la mujer con síndrome de tuberías oxidadas o rusty-pipe syndrome: a propósito de un caso
  Lidia Sanz Durán
  Enfermería Clínica.2023; 33(6): 438.     CrossRef
• Grossly Bloody Colostrum—The Need for Staff Education and Maternal Support
  Katarzyna Wszołek, Stanisław Przewoźny, Adrianna Nowek, Angelika Odor, Paulina Małyszka (Hoffmann), Marcin Przybylski, Jakub Żurawski, Małgorzata Pięt, Maciej Wilczak
  Journal of Clinical Medicine.2023; 12(23): 7326.     CrossRef
• Early recognition of rusty pipe syndrome to avoid disruption of breast feeding
  Jia Ming Low, Zubair Amin, Yvonne Peng Mei Ng
  Archives of Disease in Childhood - Fetal and Neonatal Edition.2022; 107(3): 241.     CrossRef
• Review of Rusty Pipe Syndrome with a Case Report
  Tolga Kalayci, Murat Kartal
  Indian Journal of Surgery.2022; 84(S3): 832.     CrossRef
• Rusty pipe syndrome: a case report and review of the literature
  Huanna Tang, Wenting Zhu, Jianpeng Chen, Dan Zhang
  BMC Pregnancy and Childbirth.2022;[Epub]     CrossRef