O&G Forum

OBSTETRICS & GYNAECOLOGY FORUM 2022 | ISSUE 3 | 18 Introduction e occurrence of ectopic breast tissue is rare, with a frequency of 1-6% in females.1 It may occur anywhere along the milk line, which extends bilaterally from the axilla to the groin. e ectopic breast tissue is commonly described in the axilla or the chest wall but extremely rare in the vulva.2 During embryologic development of the breast at approximately four-week gestation, paired ectodermal thickenings produce the mammary ridges on the ventral surface of the embryo, which extends from the axillae to the medial thigh. Incomplete involution anywhere along the primitive milk streak is believed to lead to ectopic remnants of breast tissue.3,4 was uneventful. Case report is is a case report of a 25 years old P1M1G3 who presented at 26 weeks gestation, HIV positive with an undetectable viral load, other booking bloods were normal. She was previously treated for pulmonary tuberculosis in the background of chronic bronchiectasis. She presented six days following vaginal delivery of a 970g baby at 26 weeks gestation. She complained of shortness of breath, fever and swelling in her axilla and vulva area. On clinical examination she was tachypnoeic (30 breaths/ minute), pyrexial (39 celsious), tachycardia (122 beats/minute) and her blood pressure was 99/56 mmhg. She had clubbing of her ngernails, bilateral course crepitations and rhonchi and her chest radiography showed multiple consolidations, with some bullae and cavitations. Both breasts were lactating, engorged and she had so non tender uctuant bilateral axillary masses. e vulva was grossly enlarged with both labia majora’s engorged and having a creamy milky discharge through a spontaneous sinus. Figure 1: Clinical features on presentation. (A&B) Showing bilaterally engorged le and right breasts with enlarged axillary masses. (C) Bilaterally enlarged and discharging vulva masses. O&G Forum 2022; 32: 18-20 CASE REPORT Multiple ectopic breast tissue with a large lactating vulvar mass in a postpartum period. Shisana M. Baloyi 1 , Samia RM El Ammari 1 1 Department of Obstetrics and Gynaecology, University of the Free State, South Africa Abstract Anogenital mammary-like glands were all previously considered ectopic breast tissues. Current literature suggest that it can also represent a normal constituent of the anogenital area. Vulva ectopic breast tissue is extremely rare, with very few cases reported to date. Case report We report a case of a patient presenting with bilateral swelling of the labia majora as well as ipsilateral axilla six days postpartum. Histological examination from the biopsy of the vulvar mass confirmed ectopic breast tissue. Conclusion Ectopic breast tissue is commonly described in the axilla or the chest wall but extremely rare in the vulva. Keywords: HIV; Carbegoline; anogenital mammary glands; puerperium Correspondence Shisana Baloyi email: BaloyiSM@ufs.ac.za A B C