Rusty Pipe Syndrome: Case Report

Abstract

Introduction: Rusty pipe syndrome is a condition in which blood mixes with breast milk shortly after childbirth, without the mother experiencing any pain or having any nipple wounds. It typically affects both breasts and is considered rare, occurring in approximately 0.1% of breastfeeding women. If the condition persists for more than 7 days, further investigation may be necessary to determine the cause. Most healthcare providers are unfamiliar with this condition, which can lead to concern and anxiety about breastfeeding, and may result in discontinuation of breastfeeding.

Objective: To report the clinical presentation of cases with rusty pipe syndrome.

Methods: A retrospective study of two breastfeeding women. Demographic data, clinical presentation, and clinical course were obtained.

Results: Two mothers presented with unilateral painless bloody nipple discharge on the first day of lactation. Both cases resolved spontaneously without any investigation or specific management. Rusty pipe syndrome was diagnosed. Exclusive breastfeeding could be continued.

Conclusion: Rusty pipe syndrome is a benign cause of bloody nipple discharge during the lactation period. It can resolve spontaneously, allowing mothers to continue breastfeeding safely. Health care providers should recognize this condition.