BILATERAL GESTATIONAL GIGANTOMASTIA COMPLICATING PREGNANCY: A CHALLENGING CASE REFRACTORY TO CONSERVATIVE MANAGEMENT sathasivampravanan@gmail.com

 

BILATERAL GESTATIONAL GIGANTOMASTIA COMPLICATING PREGNANCY: A CHALLENGING CASE REFRACTORY TO CONSERVATIVE MANAGEMENT

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Sri Lanka

Oral or Poster

Gestational gigantomastia (GG) is a rare condition characterized by excessive and rapid breast enlargement during pregnancy resulting in significant physical discomfort, functional limitations, and significant psychological impact.

We present a 33-year-old multiparous woman in her third pregnancy, who developed severe bilateral GG by 16 weeks of gestation.

Despite initial conservative management, including analgesia and pharmacological (bromocriptine) therapy, the condition worsened causing functional impairment and recurrent mastitis requiring repeated hospital admissions. The pregnancy was electively induced due to physical limitations at 35 weeks of gestation; however, the labour was complicated by obstruction, necessitating an emergency c section. Postpartum patient developed severe lactational mastitis complicated by sepsis necessitating ICU admission. After recovery and cessation of breastfeeding, she elected to undergo wise pattern bilateral reduction mammoplasty with free nipple-areolar complex (NAC) grafting in four months to her postpartum period. The procedure provided substantial functional relief and a favourable aesthetic outcome.

This case underscores the complexity of managing gestational gigantomastia and emphasizes the need for individualized care. Although conservative treatments may offer temporary relief, surgical intervention is often necessary in severe cases. This case contributes to the understanding of effective management strategies for GG, particularly in cases refractory to conservative measures.