Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report

Noureddine Hassayoune, MD; Mina Mhallem Gziri, MD, PhD; Audrey Lentini, MD; Theodoros Chrelias, MD; Jennifer Hammer, MD; Martine Berlière, MD, PhD; Benoît Lengelé, MD, PhD, FRCS; Maude Coyette, MD

JPRAS Open (Sep 2021)

Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report

Noureddine Hassayoune, MD,
Mina Mhallem Gziri, MD, PhD,
Audrey Lentini, MD,
Theodoros Chrelias, MD,
Jennifer Hammer, MD,
Martine Berlière, MD, PhD,
Benoît Lengelé, MD, PhD, FRCS,
Maude Coyette, MD

Affiliations

Noureddine Hassayoune, MD: Department of Plastic and Reconstructive Surgery, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrate 10, 1200, Brussels, Belgium
Mina Mhallem Gziri, MD, PhD: Department of Obstetrics, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrate 10, 1200, Brussels, Belgium
Audrey Lentini, MD: Department of Plastic and Reconstructive Surgery, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrate 10, 1200, Brussels, Belgium
Theodoros Chrelias, MD: Department of Plastic and Reconstructive Surgery, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrate 10, 1200, Brussels, Belgium
Jennifer Hammer, MD: Department of Plastic and Reconstructive Surgery, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrate 10, 1200, Brussels, Belgium
Martine Berlière, MD, PhD: Department of Gynecology, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrate 10, 1200, Brussels, Belgium
Benoît Lengelé, MD, PhD, FRCS: Department of Plastic and Reconstructive Surgery, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrate 10, 1200, Brussels, Belgium
Maude Coyette, MD: Department of Plastic and Reconstructive Surgery, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrate 10, 1200, Brussels, Belgium; Corresponding author: Maude Coyette, MD, Department of Plastic and Reconstructive Surgery, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrate 10, 1200 Brussels, Belgium, Phone: (+32) 02/7641403 Fax: (+32) 02/7626284.

Journal volume & issue: Vol. 29
pp. 65 – 70

Abstract

Read online

Summary: Gestational gigantomastia (GGM) is a rare condition characterized by a massive overgrowth of breast tissue during pregnancy. Surgical sanction may be required when conservative measures fail. In this study, we report the case of a 29-year-old woman who presented with an evolutive GGM responsible for physical and emotional distress, despite medical treatment. A multidisciplinary decision was made to induce delivery at 32 weeks. In the postdelivery period, the patient developed breast wounds, complicated with septic cardiomyopathy. An emergency bilateral mastectomy was then carried out, together with banking of both nipple-areola complexes. Thereafter, delayed bilateral 2-stage breast reconstruction was started at 12 months with subcutaneous tissue expanders, later on followed by implants removal and autologous reconstruction with bilateral deep inferior epigastric artery perforator flaps and bilateral nipple replantation.

Published in JPRAS Open

ISSN: 2352-5878 (Online)
Publisher: Elsevier
Country of publisher: United Kingdom
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/jpras-open/

About the journal

Abstract

Keywords