Gestational gigantomastia with fatal outcome

Rakislova, Natalia; Lovane, Lucília; Fernandes, Fabíola; Gonçalves, Emília; Bassat, Quique; Mocumbi, Sibone; Ordï, Jaume; Carrilho, Carla

doi:10.4322/acr.2020.213

Cited by 6 publications

(4 citation statements)

References 29 publications

(41 reference statements)

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“…Life-threatening haemorrhage in GG is rarely reported. In a review of the literature, only one similar case of massive haemorrhage was noted, with the patient having an unfavourable outcome despite several transfusions and attempts breast tissue retention [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Gestational gigantomastia—a rare entity complicated by life-threatening haemorrhage

Neblett

Venugopal

Johnson

et al. 2021

Journal of Surgical Case Reports

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Gestational gigantomastia is a psychologically and physically debilitating disease of unknown aetiology. Underlying diseases that present as gigantomastia should be excluded by a thorough workup. Most cases respond to the preferred approach: conservative management, as foetal viability and well-being is of significant importance. However, in those cases where the maternal mortality is at risk, the surgical approach is preferred. Life-threatening haemorrhage may occur and early recognition and treatment is paramount to outcome. A case of gestational gigantomastia complicated by life-threatening haemorrhage is presented and discussed.

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Section: Discussionmentioning

confidence: 99%

Gestational gigantomastia—a rare entity complicated by life-threatening haemorrhage

Neblett

Venugopal

Johnson

et al. 2021

Journal of Surgical Case Reports

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“…However, a worsening maternal clinical status in the setting of gestational gigantomastia could have sequelae on fetal status as well and should be treated appropriately and promptly. Necrosis, bleeding, or infection may lead to sepsis, multi-organ failure, and maternal and/or fetal death [21][22][23]. Discretion should be utilized by obstetric providers in discussion with a multidisciplinary team and the patient regarding delivery timing in the setting of worsening maternal status or refractory infection.…”

Section: Fetal Implicationsmentioning

confidence: 99%

Gestational Gigantomastia: Case Report and Review of Treatment Options

2024

Ann Case Report

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Gestational gigantomastia is a rare and devastating condition involving rapid and excessive enlargement of the breast tissue during pregnancy or postpartum. We review the workup, assessment, and care of a patient with gestational gigantomastia with superimposed mastitis. Conservative treatment, medical management, and surgical options should be explored with patients. It is also important for providers to be cognizant of the psychological impact of this condition.

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“…Indeed, regression after delivery is possible, but with a high or even systematic risk of recurrence [1]. However, in our patient, the risk of sepsis or even death led us to opt for radical surgery [4] [8] [9]. The therapeutic management is therefore essentially based on surgery.…”

Section: Therapeutic Aspectsmentioning

confidence: 99%

“…In our patient, the rapid necrosis of the mammary gland was a formal indication for surgery. Rakislova [4] reports two cases with fatal outcome due to severe sepsis in HIV infection [7].…”

Section: Therapeutic Aspectsmentioning

confidence: 99%

Bilateral Gravidic Gigantomastia at the Gynecological and Obstetrical Clinic of Dantec: A Case Report

Rahadat¹,

Niassy²,

Sarr³

et al. 2022

OJOG

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The consequence of a monstrous and diffuse evolution of the usual epithelial hyperplasia of pregnancy, gravidic gigantomastia is a disabling pathology. Rarely, it poses a problem for management and its etiology is still undetermined. In spite of a benign condition, it is nonetheless a serious one because of the complications associated with excessive growth, the weight of the mammary gland and the compromise of breastfeeding function (through destruction of the nipple-areolar plate and surgery). We report a case of bilateral gravidic gigantomastia in a 31-year-old woman to discuss the diagnostic and therapeutic aspects.

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Gestational gigantomastia with fatal outcome

Cited by 6 publications

References 29 publications

Gestational gigantomastia—a rare entity complicated by life-threatening haemorrhage

Gestational gigantomastia—a rare entity complicated by life-threatening haemorrhage

Gestational Gigantomastia: Case Report and Review of Treatment Options

Bilateral Gravidic Gigantomastia at the Gynecological and Obstetrical Clinic of Dantec: A Case Report

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