Cesarean section after abdominal mesh repair for pregnancy-related desmoid tumor: a case report

Ooi, Sara; Ngo, Harry

doi:10.2147/ijwh.s135098

Cited by 4 publications

(3 citation statements)

References 17 publications

(15 reference statements)

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“…Years later, when the patient desired pregnancy, she underwent complete excision of the residual tumor before conceiving to avoid the risk of progression during pregnancy. She subsequently had an uncomplicated pregnancy and delivery [ 27 ]. This case suggests that excision of the DF tumor and abdominal wall repair is not a contraindication to subsequent pregnancy.…”

Section: Discussionmentioning

confidence: 99%

A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester

Stemmer,

Gomes,

Cardonick

2024

Case Reports in Obstetrics and Gynecology

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Desmoid fibromatosis (DF) is a rare and locally aggressive neoplasm. We present a case of a 28-year-old previously healthy multigravida who noticed a lump in her abdomen near the umbilicus two months before becoming pregnant. It underwent rapid growth during pregnancy, causing pain and discomfort. Targeted ultrasound of the area showed an irregular mass measuring 0.9×1.7×1.4 cm. The origin of the mass was unclear, suggesting a connection with the intra-abdominal contents. An MRI done three weeks later revealed a subcutaneous ovoid mass measuring 3.0×2.3×3.0 cm, which was significantly larger. Due to pain and rapid growth, surgical resection was done at 25 weeks of pregnancy. Histopathological examination revealed a desmoid tumor. The patient had an uneventful recovery and term vaginal delivery without complications. Hence, our case serves as evidence that DF tumors can be surgically managed during pregnancy with minimal to no complications.

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Section: Discussionmentioning

confidence: 99%

A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester

Stemmer,

Gomes,

Cardonick

2024

Case Reports in Obstetrics and Gynecology

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“…Instrument assistance may be needed in normal vaginal delivery due to weakened muscle power in bearing down during the labor. 11,12 Fig. 4.…”

Section: Discussionmentioning

confidence: 99%

Fleur-de-lis Miniabdominoplasty Access in Radical Resection of a Large Abdominal Wall Desmoid Tumor

Chen,

Kao,

2023

Plastic and Reconstructive Surgery - Global Open

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Summary: Desmoid tumor (DT) is a rare benign soft tissue neoplasm that develops in the musculoaponeurotic structures, one-third of which involve the abdominal wall. Due to local aggressive infiltration of DT, the recurrence rate is approximately 45%–77%, according to the locations of the tumors, and 25%–50% for those with unclear surgical margins. Limited by adverse effects of radiotherapy and chemotherapy, surgical excision is still the standard management recommended. Differing from traditional midline or abdominoplasty access, we applied a fleur-de-lis miniabdominoplasty access in a 37-year-old woman who had primary abdominal wall DT with less than 1 cm depth from the umbilicus. The approach not only provides a better surgical field for radical tumor excision but also eliminates redundant skin and dog-ear formation at bilateral flanks. An appropriate surgical margin could be processed simultaneously when the tumor was close to the skin surface. After abdominal wall reconstruction, the postoperative course was uneventful, and no DT recurrence or incisional hernia was noted during the follow-up. The patient was satisfied with the tumor treatment and aesthetic outcome.

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“…Even a repeat CS is possible after desmoid resection and abdominal mesh repair. 14 Mendenhall et al reviewed 10 year postoperative patients with surgery only and found that the local control rate of the negative margins (73%) was significantly different from that of the positive (46 %). 15 Thus it is of critical importance to achieve the wide resection margins to control the desmoid recurrence rate .We have done wide surgical resection of the tumor thereby reducing the chances of recurrence.…”

Section: Discussionmentioning

confidence: 99%

Large sporadic abdominal wall desmoid tumor due to repeated caesarean sections, a rare and long-term unexpected morbidity

Agrawal¹,

Agrawal²,

Lobo³

2020

Int J Reprod Contracept Obstet Gynecol

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We present a case of large abdominal wall desmoid tumor (DT) arising due to repeated caesarean sections (CS) in a young woman of reproductive age group and managed with wide resection of tumor and abdominal wall reconstruction (AWR). Our patient was a 30-year-old female, came with complaints of persistent abdominal pain associated with mass on abdominal wall and difficulty in walking for 2 years. Patient had 3 living children, all were delivered by CS. Ultrasonography and CT scan of abdomen with contrast revealed a large solid abdominal wall mass and FNAC was suggestive of benign spindle cell neoplasm. We performed a wide surgical excision of tumor. Abdominal wall reconstruction done with prolene mesh. Post-operative period was uneventful with satisfactory wound healing. DTs are rare tumors that occur anywhere in the body and have quite variable clinical behavior. In our patient this tumor had occurred sporadically about 4-5 years of last child birth. Repeated trauma of surgeries on the abdominal wall led to the catastrophic destruction of the musculature in our patient. In this case CT scan revealed solid lump on abdominal wall without any evidence of incisional or inguinal hernia and associated intraabdominal pathology. Our specimen tested positive for β catenin confirming DT. Surgery remains the main stay of treatment in all patients. In female patients presenting with lower abdominal wall tumor with history of previous CS or gynecological surgeries, DT should be considered.

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Cesarean section after abdominal mesh repair for pregnancy-related desmoid tumor: a case report

Cited by 4 publications

References 17 publications

A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester

A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester

Fleur-de-lis Miniabdominoplasty Access in Radical Resection of a Large Abdominal Wall Desmoid Tumor

Large sporadic abdominal wall desmoid tumor due to repeated caesarean sections, a rare and long-term unexpected morbidity

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