Highlights
This is one the first published cases of gestational gigantomastia in Saudi Arabia.
Gestational gigantomastia is a very rare disease (1 in 100 000 pregnancies).
This case of gestational gigantomastia is complicated by ulceration and discharge.
The treatment options are skin-sparing mastectomy and breast reconstruction.
Immediate reconstruction by pre-pectoral implant and ADM is an option.
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