Lactiferous fistula in the axillary breast

Lactiferous fistulae are uncommon post inflammatory conditions usually occurring around the areola of nipple. A young nursing mother presented with milk discharge from the site of a previous infection in left anterior axillary discharge whenever baby suckled. Ultrasound of right breast and axilla showed a fistulous track coursing between skin and a lactiferous duct in the axillary tail of breast. Due to the nursing state, local care was advised deferring surgery to post lactation period. The fistula remained quiescent after the nursing period ended. Follow up ultrasound and examination 18 months later showed complete healing