Abstract
Kanlı meme başı akıntısı, küçük çocuklarda endişe verici bir bulgu olup genellikle memenin benign duktal ektazisi ile ilişkili, kendiliğinden iyileşen bir durumdur. Burada tek taraflı kanlı meme başı akıntısı şikayeti ile başvuran 18 aylık bir erkek bebek hasta sunulmaktadır. Ultrasonografide meme başı altında ince septalı kistik kitle saptanmıştır. Akıntının mikrobiyolojik incelemesinde infeksiyon yönünde bir bulgu izlenmemiş, sitolojik incelemesinde kanlı zeminde hemosiderin içeren makrofajlar ve az sayıda iltihap hücresi tespit edilmiştir. Klinik, radyolojik ve laboratuvar bulguları memenin benign duktal ektazisi ile uyumlu olarak değerlendirilmiş, hastanın 6-9 ay arası tedavisiz izlemi önerilmiştir. Akıntı 3 ay içinde kendiliğinden azalarak klinik ve radyolojik olarak tamamen ortadan kalkmıştır.
Keywords
References
- Berkowitz CD, Inkelis SH. Bloody nipple discharge in infancy. J Pediatr 1983;103:755-6.
- Stringel G, Perelman A, Jimenez C. Infantile mammary duct ectasia: A cause of bloody nipple discharge. J Pediatr Surg 1986;21:671-4.
- Miller JD, Brownell MD, Shaw A. Bilateral breast masses and bloody nipple discharge in a 4-year-old boy. J Pediatr 1990;116: 744-7.
- Böber E, Ozer E, Akgür F, Büyükgebiz A. Bilateral breast masses and bloody nipple discharge in a two-year-old boy. J Pediatr Endocrinol Metabol 1996;9:419-21.
- Kitahara S, Wakabayashi M, Shiba T, Nonaka K, Nonaka H, Kobayashi I. Mammary duct ectasia in children presenting bloody nipple discharge: A case in a pubertal girl. J Pediatr Surg 2001;36:E2.
- Al-Arfai AA, Chir AF, Mitra DK, Sowayan SA. Bloody nipple discharge in a 4-year old child. Ann Saudi Med 2003;23:175-6.
- Leung AK, Kao CP. Mammary duct ectasia: A cause of bloody nipple discharge. J Natl Med Assoc 2004;96:543-5.
- Nili F, Tajaddini A. Bloody nipple discharge in infancy: Report of a case. Acta Medica Iranica 2004;42:232-4.
- Çorapçıoğlu F, Akansel G, Sarper N, Taneri H, Yıldız K. Mammary duct ectasia as a cause of bloody nipple discharge in a 28-month- old boy. Turk J Pediatr 2005;47:379-81.
- Kelly VM, Arif K, Ralston S, Greger N, Scott S. Bloody nipple discharge in an infant and a proposed diagnostic approach. Pediatrics 2006;117:e814-6.
- De Praeter C, De Coen K, Vanneste K, Vanhaesebrouck P. Unilateral bloody nipple discharge in a two-month-old male. Eur J Pediatr 2008;167:457-9.
- Gupta V, Yadav SK. Infantile bloody nipple discharge: A case report and review of the literature. Afr J Paediatr Surg 2009;6:63-4.
- Imamoglu M, Cay A, Reis A, Ozdemir O, Sapan L, Sarihan H. Bloody nipple discharge in children: Possible etiologies and selection of appropriate therapy. Pediatr Surg Int 2006;22:158-63.
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
References
- Berkowitz CD, Inkelis SH. Bloody nipple discharge in infancy. J Pediatr 1983;103:755-6.
- Stringel G, Perelman A, Jimenez C. Infantile mammary duct ectasia: A cause of bloody nipple discharge. J Pediatr Surg 1986;21:671-4.
- Miller JD, Brownell MD, Shaw A. Bilateral breast masses and bloody nipple discharge in a 4-year-old boy. J Pediatr 1990;116: 744-7.
- Böber E, Ozer E, Akgür F, Büyükgebiz A. Bilateral breast masses and bloody nipple discharge in a two-year-old boy. J Pediatr Endocrinol Metabol 1996;9:419-21.
- Kitahara S, Wakabayashi M, Shiba T, Nonaka K, Nonaka H, Kobayashi I. Mammary duct ectasia in children presenting bloody nipple discharge: A case in a pubertal girl. J Pediatr Surg 2001;36:E2.
- Al-Arfai AA, Chir AF, Mitra DK, Sowayan SA. Bloody nipple discharge in a 4-year old child. Ann Saudi Med 2003;23:175-6.
- Leung AK, Kao CP. Mammary duct ectasia: A cause of bloody nipple discharge. J Natl Med Assoc 2004;96:543-5.
- Nili F, Tajaddini A. Bloody nipple discharge in infancy: Report of a case. Acta Medica Iranica 2004;42:232-4.
- Çorapçıoğlu F, Akansel G, Sarper N, Taneri H, Yıldız K. Mammary duct ectasia as a cause of bloody nipple discharge in a 28-month- old boy. Turk J Pediatr 2005;47:379-81.
- Kelly VM, Arif K, Ralston S, Greger N, Scott S. Bloody nipple discharge in an infant and a proposed diagnostic approach. Pediatrics 2006;117:e814-6.
- De Praeter C, De Coen K, Vanneste K, Vanhaesebrouck P. Unilateral bloody nipple discharge in a two-month-old male. Eur J Pediatr 2008;167:457-9.
- Gupta V, Yadav SK. Infantile bloody nipple discharge: A case report and review of the literature. Afr J Paediatr Surg 2009;6:63-4.
- Imamoglu M, Cay A, Reis A, Ozdemir O, Sapan L, Sarihan H. Bloody nipple discharge in children: Possible etiologies and selection of appropriate therapy. Pediatr Surg Int 2006;22:158-63.
Details
| Other ID | JA55EH26UA |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | October 1, 2013 |
| Submission Date | October 1, 2013 |
| Published in Issue | Year 2013 Volume: 7 Issue: 3 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.