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Rare case study shows why a woman started to lactate from her vulva



Breastfeeding can be difficult for many young mothers, but it could be said that a 29-year-old in Austria was much worse off.

It was not just her breasts that were swollen, sore and swollen that were milk – that was her vulva too.

The physicians of the Department of Obstetrics and Gynecological Endocrinology of the Kepler University Hospital in Austria did not see the woman until five days after the birth of her second child.

She was referred for her vulva for complaints of swelling and pain in her care. There were some tears during the last birth and she had received two sets of stitches in two different parts of the sensitive area.

"At the time of the transfer, this patient reported that she had a discharge of bilaterally a milky white fluid on the vulva on day four postpartum," the team explains.

"She noted an increase in swelling on both sides, right and left, extending from the labia majora to the labia minora and extending to the perineal area near the anus within 4 days of delivery." 1

9659002] The first thought was that something was wrong with the stitches; But the woman noticed to the doctors that she had similar symptoms after her first pregnancy.

Taking all these circumstances into account, the team of doctors recognized that their patient had so-called ectopic breast tissue (not in the usual place) in her outer genitals. An ultrasound confirmed the diagnosis.

And although there was no nipple, there was a channel – and it excretes milk.

That may sound like a totally bizarre situation, but it's pretty easy to explain if we look closely at the development of human breasts; They can be much more complicated than we think.

Man, like all other mammals, has something like an embryonic milk line or a milk crest. If we are still small embryos, this is the area where our body forms nipples. In this sense, we also form mammary glands and breast tissue during puberty.

 (Geneva Foundation for Medical Education and Research / CC BY 3.0) (The Geneva Foundation for Medical Education and Research (CC BY 3.0) But here's the thing: nipples and Breast tissue can actually form anywhere along these milk lines, which is what causes things like third (or more) nipples along the milk line, or in this case breast tissue on the vulva.

Such a phenomenon is rare, but not uncommon A brief glance will reveal several other cases in the literature.

However, this ectopic breast tissue is usually only discovered when it has problems such as swelling in pregnancy or the development of a cancerous tumor.To treat such cancer cases, tumor and breast tissue are removed usually solves the problem.

When Austrian mother, it seemed that some of the stitches on one side of a Galactostase, which left the milk to a painful degree. To treat this, the doctors removed the stitches from the ectopic breast tissue and gave the patient antibiotics for the treatment of inflammation.

Fortunately, the pain, swelling, and vaginal discharge from the vulva slowed in the next two weeks, and the woman continued to breastfeed without further difficulty.

The researchers explain that they have not removed the breast tissue, although they have discussed potential problems with tumors in the future.

For ectopic breast tissue, it seems advisable to recommend the removal of this tissue, although there are no guidelines for the treatment of extramammary breast tissue and to guide proper management.

The research was published in Obstetrics & Gynecology .


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