Search tips
Search criteria 


Logo of jnmaLink to Publisher's site
J Natl Med Assoc. 2004 April; 96(4): 543–545.
PMCID: PMC2594993

Mammary duct ectasia: a cause of bloody nipple discharge.


We report a 13-year-old girl with bloody nipple discharge as a result of mammary duct ectasia. Our patient is the second reported case of mammary duct ectasia in a pubertal girl.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (678K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Böber E, Ozer E, Akgür F, Büyükgebiz A. Bilateral breast masses and bloody nipple discharge in a two year-old boy. J Pediatr Endocrinol Metab. 1996 May-Jun;9(3):419–421. [PubMed]
  • Berkowitz CD, Inkelis SH. Bloody nipple discharge in infancy. J Pediatr. 1983 Nov;103(5):755–756. [PubMed]
  • Fenster DL. Bloody nipple discharge. J Pediatr. 1984 Apr;104(4):640–640. [PubMed]
  • Stringel G, Perelman A, Jimenez C. Infantile mammary duct ectasia: a cause of bloody nipple discharge. J Pediatr Surg. 1986 Aug;21(8):671–674. [PubMed]
  • Miller JD, Brownell MD, Shaw A. Bilateral breast masses and bloody nipple discharge in a 4-year-old boy. J Pediatr. 1990 May;116(5):744–747. [PubMed]
  • Al-Arfaj Abdullatif A, Chir Arzt F, Mitra Dilip K, Sowayan Saleh A. Bloody nipple discharge in a 4-year old child. Ann Saudi Med. 2003 May-Jul;23(3-4):175–176. [PubMed]
  • Weimann E. Clinical management of nipple discharge in neonates and children. J Paediatr Child Health. 2003 Mar;39(2):155–156. [PubMed]
  • Dixon JM, Anderson TJ, Lumsden AB, Elton RA, Roberts MM, Forrest AP. Mammary duct ectasia. Br J Surg. 1983 Oct;70(10):601–603. [PubMed]
  • Thomas WG, Williamson RC, Davies JD, Webb AJ. The clinical syndrome of mammary duct ectasia. Br J Surg. 1982 Jul;69(7):423–425. [PubMed]
  • Rees BI, Gravelle IH, Hughes LE. Nipple retraction in duct ectasia. Br J Surg. 1977 Aug;64(8):577–580. [PubMed]
  • Chan KW, Lau WY. Duct ectasia in the male breast. Aust N Z J Surg. 1984 Apr;54(2):173–176. [PubMed]
  • Mansel RE, Morgan WP. Duct ectasia in the male. Br J Surg. 1979 Sep;66(9):660–662. [PubMed]
  • Mudan SS, Ibrahim AE, Wise M, Perry PM. Nipple discharge in a teenager. J R Soc Med. 1998 Sep;91(9):490–491. [PubMed]
  • Simpson JS, Barson AJ. Breast tumours in infants and children: a 40-year review of cases at a children's hospital. Can Med Assoc J. 1969 Jul 26;101(2):100–102. [PMC free article] [PubMed]
  • García CJ, Espinoza A, Dinamarca V, Navarro O, Daneman A, García H, Cattani A. Breast US in children and adolescents. Radiographics. 2000 Nov-Dec;20(6):1605–1612. [PubMed]
  • MYERS MB, KAPLAN IW. Bleeding from the nipple in infancy due to cystic ductal hyperplasia of the breast. Ann Surg. 1956 Apr;143(4):557–560. [PubMed]
  • Olcay I, Gököz A. Infantile gynecomastia with bloody nipple discharge. J Pediatr Surg. 1992 Jan;27(1):103–104. [PubMed]
  • Heydenrych JJ, Villet WT, von der Heyden U. Carcinoma of the breast in children: a case report and review of the literature. S Afr Med J. 1980 Jun 14;57(24):1005–1008. [PubMed]
  • Karl SR, Ballantine TV, Zaino R. Juvenile secretory carcinoma of the breast. J Pediatr Surg. 1985 Aug;20(4):368–371. [PubMed]
  • Menken KU, Roll C. Bloody nipple discharge in a 3-year-old girl. Eur J Pediatr. 1993 Dec;152(12):1047–1047. [PubMed]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association