Bloody nipple discharge in an infant – a stressful presentation with a benign cause
Keywords:
bloody nipple discharge, infant, mammary ductal ectasiaAbstract
Bloody nipple discharge (BND) in infancy is rare, most commonly associated with mammary duct ectasia. The occurrence of BND can be particularly distressing, for both parents and pediatricians, due to its association with breast carcinoma in adults. We report a case of a ten-month-old girl who exhibited intermittent left-sided BND for a duration of six weeks. Coagulation and hormonal tests were within the age-appropriate reference ranges, and ultrasound imaging was normal. The discharge resolved spontaneously. In such cases, it is crucial to avoid unnecessary invasive procedures or treatments, while providing reassurance to parents and addressing any misconceptions associated with this condition.
Downloads
References
Fouda EY, Al Shamrani K, Al Hamdi A, Al Jurebi M, Dahlan H, Erwi S, et al. Mammary duct ectasia with bloody nipple discharge in a 5-month-old infant: A case report. J Pediatr Surg Case Rep. 2017 Mar 1;18:24–6.
Jung Y, Chung JH. Mammary duct ectasia with bloody nipple discharge in a child. Ann Surg Treat Res. 2014;86(3):165–7.
Matamala ÁMA, Biain MA, Ferruz RM, Elfau MTS, García GG. Duct ectasia, an infrequent condition in childhood. A case report. Arch Argent Pediatr. 2018 Dec 1;116(6):E782–4.
Gupta S, Goyal A, Mannan N, Bagarhatta M, Mendiratta K. Mammary duct ectasia: an unusual cause of breast enlargment in paediatric age group. Eurorad. 2021 Jun 30. doi: https://doi.org/10.35100/eurorad/case.17345.
Mchoney M, Munro F, MacKinlay G. Mammary duct ectasia in children: Report of a short series and review of the literature. Early Hum Dev. 2011 Aug;87(8):527–30.
Affranchino PN, Oglietti JP, Amoedo D, Nastri M. Telorragia en el lactante por ectasia ductal. Consideraciones acerca de dos casos. Arch Argent Pediatr. 2013 Dec;111(6):0-0.
Nascimento M, Portela A, Espada F, Fonseca M. Bloody nipple discharge in infancy--report of two cases. BMJ Case Rep. 2012 Jul 19;2012:bcr2012006649. doi: https://doi.org/10.1136/bcr-2012-006649.
Seo JY, Kim SJ, Lee SJ, Song ES, Woo YJ, Choi YY. Bloody nipple discharge in an infant. Korean J Pediatr. 2010;53(10):917–20.
Acer T, Derbent M, Hiçsönmez A. Bloody nipple discharge as a benign, self-limiting disorder in young children: A systematic review including two related case reports. J Pediatr Surg. 2015 Nov;50(11):1975-82. doi: https://doi.org/10.1016/j.jpedsurg.2015.08.049.
Rodrigues CF, Silva N. Bloody nipple discharge in an infant. J Pediatr Neonat Individual Med. 2021;11(1):e110105.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Inês Pereira Soares, Madalena Torrado Malato, Daniela Ramos

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in the Birth and Growth Medical Journal are Open Access and meet the requirements of funding agencies and academic institutions. Third-party use of published content is permitted under the terms of the Creative Commons Attribution-NonCommercial (CC BY-NC) license. It is the responsibility of authors to obtain permission for reproducing figures, tables, or other materials from previously published works.
Authors must submit a Conflict of Interest statement and an Authorship Form together with their manuscript. A confirmation email will be sent to the corresponding author upon receipt of the submission. Authors are also permitted to deposit their articles in institutional or personal repositories, provided that the original publication in the Birth and Growth Medical Journal is clearly indicated and the terms of the Creative Commons license are respected.