Abdominal Wall Desmoid Tumor in a Pregnant Woman and Cesarean Section Managment

Abstract

Increased risk of sporadic desmoid tumor occurs in increased estrogen level (pregnancy) and surgical incisions (abdominal and thorasic). The frequency of desmoid tumors in the general population is 2.4 to 4.3 cases. The case is 30 year old woman with history of previous cesarean section. In fourth month of pregnancy,ultrasonography revealed a 5×7 cm mass in lower segment of the uterus(leiomyoma). The tumor diameter was 20 cm in term gestation. The time of cesarean , incision of skin was done above the umbilicus and below the sternum and incision of uterus was done from fondus vertically down. After delivery, the mass which was separated from uterus and located in the abdominal wall was extracted. The histological investigation diagnosed a desmoid tumor.

Keywords

• Casarean Section; Desmoid Tumor; Pregnancy