Rusty Pipe Syndrome in a Multigravida Woman: A Case Report from Ghana

Abstract

Rusty pipe syndrome is a benign and self-limiting condition characterised by the discharge of brown or bloody breast milk, often observed during pregnancy or early lactation. This uncommon syndrome predominantly affects primigravid women, earning its name from the resemblance of the milk's colour to water from a rusty pipe. Typically painless and bilateral, rusty pipe syndrome usually resolves spontaneously within a week without medical intervention. This case study describes a 33-year-old woman, now a para 3, who delivered via spontaneous vaginal delivery at 40 weeks and 1 day of gestation. Following a rapid labour, her newborn required evaluation in the neonatal care unit after falling into a prone position. The mother experienced bilateral, painless, bloody nipple discharge upon the onset of lactation. Physical examination revealed no signs of inflammation, palpable masses, tenderness, cracks, or ulcers. During her hospital stay, the colour of the milk transitioned from dark brown to light brown, ultimately resolving six days postpartum without any treatment. This case underscores the manifestation of rusty pipe syndrome in a multiparous mother. It highlights the essential need for thorough education and a solid understanding among healthcare providers to accurately identify and effectively manage rusty pipe syndrome in different patient populations. This knowledge is crucial for improving patient outcomes and reducing disparities in care, ultimately contributing to a more equitable healthcare system