Abstract
Bloody nipple discharge (BND) is a rare, distressing finding in infants. It is mostly associated with benign mammary duct ectasia and resolves spontaneously. Here we report an 18-month-old male presented with unilateral BND. Ultrasonography revealed a cystic mass with thin septations under the nipple. Microbiological examination showed no evidence of infection. Cytologic examination revealed hemosiderin-laden macrophages and some inflammatory cells on a bloody background. Clinical, radiological and laboratory findings supported mammary duct ectasia and a follow-up without treatment for six to nine months was recommended. The condition gradually disappeared over a period of three months, both clinically and ultrasonographically
Keywords: Infant, Nipple, Nipple aspirate fluid
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