Unusual Presentation of Gestational Hypertrophy of Breasts

Abstract

A 27-year-old lady was presented to emergency department complaining of macromastia and fever. The first pregnancy had a normal course. Three months after stopping breastfeeding, she noticed enlarging of the breasts. Danazol and Bromocriptine were not effective. For the second time she became pregnant and then she did an abortion at 8 weeks of gestation. Despite termination of pregnancy, the enlarging of breasts continued. The breasts were huge and reached about 20 cm below iliac crests (Fig. 1). The right one was larger than the left, with multiple ulcers on them and diffuse mastitis.The patient was resuscitated and antibiotics were begun, but there was no remarkable recovery. Bilateral simple mastectomy was done and nipple-areola complex was grafted in the lower part of the abdomen (Fig. 2).Gestational hypertrophy of breast is defined differently as massive discomforting enlargement of