Breastfeeding and Rusty Pipe Syndrome Implications in Breastfeeding: Case Report and Narrative Literature Review

Objective: To report the first case in Colombia of a Rusty Pipe Syndrome; realizing a narrative literature review for giving tools to physicians that help them set out the differential diagnosis in patients with bloody nipple discharge. Results: A 33 years old puerperal women shows a bilateral painless telorrhea in the first hours after vaginal delivery. A gram coloration was carried out, which resulted in the low leukocyte reaction and gram-positive cocci. The culture was negative. The ultrasound reported a BIRADS I. The thelorrhagia yielded spontaneously. It was considered a Rusty Pipe syndrome. Conclusions: Little is known about this clinical condition. It is not usually within the differential diagnoses in cases of bloody nipple discharge associated with breastfeeding. There is limited evidence published in Latin America about this topic.