“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.
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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
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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
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