Grand Rounds

Unilateral breast mass in a newborn

Sofia Pimenta, Teresa Cachada Baptista, João Maria Goudiaby, Fábio Barroso
Centro Hospitalar Tâmega e Sousa, Portugal

Address for Correspondence: Sofia Pimenta, Avenida do Hospital Padre Américo 210, 4564-007 Penafiel, Portugal Email:

Keywords: unilateral breast mass, neonatal mastitis

Clinical Problem:
A female full-term newborn, with 26 days of age, was brought to the Emergency Department for edema and right nipple redness with a 2-day evolution; the mother reported discomfort since that day. Pregnancy and delivery were uneventful. No fever, nipple exudate or associated skin lesions were reported.
On physical examination, nipple swelling was observed on the right with associated erythema and no apparent fluctuation (Figure 1). The remaining physical exam was normal. The laboratory tests results were unremarkable and the peripheral blood culture was sterile.

Figure 1. Right breast with edema and redness on admission to the Emergency Department.
Unilateral breast mass in a newborn

What is the diagnosis?

Previous Grand Rounds View All

Fulminant Hepatic Failure in a Child with Fever and Jaundice
Hasmukh Chapsi Gala
A 7-year-old girl presented with fever for 6 days, jaundice for 5 days, vomiting and loose stools for 2 days and altered sensorium and decreased urine output for 1 day. On admission, her blood pressur....
Biliary peritonitis: Rare presentation of spontaneously ruptured choledochal cyst
Ira Shah
A 6 months old girl presented with diarrhea and vomiting for 10 days and abdominal distension for 1 day along with oliguria. On examination, weight was 6 kg; child was dehydrated and had ascites with ....
The diagnosis of pre-symptomatic diseases
Sofia Pimenta, Sara Soares, Ana Rita Soares, Leonilde Machado
A 4-month-old male child, second child of healthy non-consanguineous parents, with no relevant family history and no prenatal or perinatal complications was referred to a Neurodevelopment clinic due t....
Hyperplastic duodenal and jejunal polyps in a child with portal cavernoma
Amit Dashputra, Ira Shah
A 7-year-old boy presented with abdominal pain for 2 days. He was diagnosed to have extrahepatic portal hypertension with portal cavernoma at the age of 1 year. At that time, he had hematemesis and ma....
Massive Hepatomegaly as a presentation of Chronic Granulomatous Disease
Rhea Vyas, Ira Shah
A 4½-month-old boy, first by birth order, born of a third degree consanguineous marriage, presented at his first immunisation visit with episodes of recurrent diarrhoea for 3 months and hepatomegaly. ....
Disclaimer: The information given by is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0