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

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. T...

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Main Authors: Shlomo M. Stemmer, Cintia Gomes, Elyce H. Cardonick
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2024/5881260
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author Shlomo M. Stemmer
Cintia Gomes
Elyce H. Cardonick
author_facet Shlomo M. Stemmer
Cintia Gomes
Elyce H. Cardonick
author_sort Shlomo M. Stemmer
collection DOAJ
description 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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spelling doaj-art-b0dd58177f2042658910c2af4c9579a82025-02-03T01:29:50ZengWileyCase Reports in Obstetrics and Gynecology2090-66922024-01-01202410.1155/2024/5881260A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second TrimesterShlomo M. Stemmer0Cintia Gomes1Elyce H. Cardonick2Department of Obstetrics and GynecologyFederal University of Santa MariaDepartment of Obstetrics and GynecologyDesmoid 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.http://dx.doi.org/10.1155/2024/5881260
spellingShingle Shlomo M. Stemmer
Cintia Gomes
Elyce H. Cardonick
A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester
Case Reports in Obstetrics and Gynecology
title A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester
title_full A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester
title_fullStr A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester
title_full_unstemmed A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester
title_short A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester
title_sort case of painful growing abdominal wall mass during pregnancy requiring resection in the second trimester
url http://dx.doi.org/10.1155/2024/5881260
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