Nipple necrosis is a usual complication after breast plastic surgery, however a spontaneous necrosis of the nipple is exceptional and especially without any apparent etiology. We searched in all accessible databases without finding a similar case in the literature. It's a about a 14 years old girl, refugee in Zaatari camp in Jordan. In her medical history, we found a purulent pleurisy of atypical germs treated two years ago, she presented in the last two months a spontaneous bilateral nipple necrosis (A et B). Physical examination showed no pubertal or gynecologic abnormalities. Breast ultrasound was normal. A hormonal balance and an assessment of vacuities were without abnormalities. Otherwise, a Chest -X-Rays was normal. Histopathological examination of a nipple biopsy revealed a necrotic tissue without specific lesions. The evolution was marked by a spontaneous drop in both necrotic nipples (C).

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Corresponding author
Ihssane Hakimi, Department of Gynecology-Obstetrics, Military Hospital of Instruction Mohammed V, Rabat, Morocco (hakimiihssane@gmail.com)