Postpartum Galactostasis of the Vulva in a Case of Bilateral Lactating Ectopic Breast Tissue

Richard Bernhard Mayer, Sabine Enengl, Herbert Witzany, Philip Sebastian Trautner, Omar Shebl, Peter Oppelt
In: Obstetrics & Gynecology · 2019 · vol. 134(1) , pp. 138–140 · doi:10.1097/aog.0000000000003313 · PMID:31188316 · W2951224917
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Abstract

BACKGROUND: In the general population, the incidence of accessory breast tissue, a congenital malformation, is 1-5%. The most common site is the lower axilla. Detecting such tissue may be problematic, and accessory breasts below the umbilicus are extremely rare. CASE: This report describes the case of a 5-day postpartum 29-year-old woman, G2P2, with painful vulvar swelling 6 cm in diameter. The patient was diagnosed with polymastia in the vulva, without polythelia, with galactostasis due to suturing of a birth laceration covering an excretory duct. The sutures were removed, and the pain decreased. Breastfeeding was continued. CONCLUSION: Ectopic breast tissue is rare but should be taken into consideration in the differential diagnosis of a vulvar mass, especially postpartum in lactating women.

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