Bloody nipple discharge in an infant – a stressful presentation with a benign cause

Authors

Keywords:

bloody nipple discharge, infant, mammary ductal ectasia

Abstract

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.

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Author Biographies

Madalena Torrado Malato, Pediatrics Department, Hospital Vila Franca de Xira, ULS Estuário do Tejo

Pediatria, Unidade Local de Saúde Estuário do Tejo – Hospital de Vila Franca de Xira, Portugal

Daniela Ramos, Pediatrics Department, Hospital Vila Franca de Xira, ULS Estuário do Tejo

Paediatrics, Unidade Local de Saúde Estuário do Tejo – Hospital de Vila Franca de Xira, Portugal

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.

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Published

2026-07-13

How to Cite

1.
Pereira Soares I, Torrado Malato M, Ramos D. Bloody nipple discharge in an infant – a stressful presentation with a benign cause. BGMJ [Internet]. 2026 Jul. 13 [cited 2026 Jul. 23];. Available from: https://revistas.rcaap.pt/bgmj/article/view/40218

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Section

Clinical Case Reports

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