Images in clinical medicine | Volume 39, Article 16, 06 May 2021 | 10.11604/pamj.2021.39.16.29374

Bilateral gestational gigantomastia

Saad Benali, Jaouad Kouach

Corresponding author: Saad Benali, Department of Gynecology and Obstetrics, Military Hospital of Instructions Mohamed V of Rabat, Rabat, Morocco

Received: 17 Apr 2021 - Accepted: 28 Apr 2021 - Published: 06 May 2021

Domain: Obstetrics and gynecology

Keywords: Gestational gigantomastia, macromastia, pregnancy

©Saad Benali et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Saad Benali et al. Bilateral gestational gigantomastia. Pan African Medical Journal. 2021;39:16. [doi: 10.11604/pamj.2021.39.16.29374]

Available online at: https://www.panafrican-med-journal.com/content/article/39/16/full

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Images in clinical medicine

Bilateral gestational gigantomastia

Bilateral gestational gigantomastia

Saad Benali1,&, Jaouad Kouach1

 

1Department of Gynecology and Obstetrics, Military Hospital of Instructions Mohamed V of Rabat, Rabat, Morocco, 2Department of Gynecology and Obstetrics, University of Medicine, Souissi, Military Hospital of Instructions Mohamed V of Rabat, Rabat, Morocco

 

 

&Corresponding author
Saad Benali, Department of Gynecology and Obstetrics, Military Hospital of Instructions Mohamed V of Rabat, Rabat, Morocco

 

 

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Gestational gigantomastia is a rare disease characterized by diffuse, extreme, and incapacitating enlargement of one or both breasts during pregnancy. Although benign, it can lead to a great social, emotional, and physical disability. A good and complete knowledge regarding this rare but distressing clinical situation is a must among all practicing physicians especially obstetricians. We report the case of a 30-year-old woman, admitted for a bilateral massive hypertrophy of the breast occurring on pregnancy and with progressive evolution. She had four pregnancies and two born-infants. Biological exams have shown a hyperprolactinemia. Pathological exam of the mammary biopsy had shown a benign hyperplasia. Medical treatment of our patient by bromocriptin was inefficient. She has had a bilateral mastectomy. Physiological enlargement of the breasts occurs at puberty and during pregnancy. It is known as gestational gigantomastia when enlargement in pregnancy becomes excessive, uncomfortable and embarrassing. Gestational gigantomastia may have far reaching effects for the mother and fetus. This rare condition is associated with considerable morbidity but may be associated with good fetal outcome. Multidisciplinary team effort in the form of obstetrician, plastic surgeon and anesthetist, and pediatrician is required for a successful fetomaternal outcome.

 

 

Figure 1: bilateral gestational gigantomastia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Bilateral gestational gigantomastia

Images in clinical medicine

Bilateral gestational gigantomastia

Images in clinical medicine

Bilateral gestational gigantomastia

Volume 39 (May - Aug 2021)
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Gestational gigantomastia

Macromastia

Pregnancy

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