Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges

Background. Desmoids are benign tumors, with local invasive features and no metastatic potential, which have rarely been described to be pregnancy associated. Case. We described the rapid growth of an anterior abdominal wall mass in a 40-year-old pregnant woman. Due to its close proximity to the enl...

Full description

Saved in:
Bibliographic Details
Main Authors: Johnny Awwad, Nadine Hammoud, Chantal Farra, Farah Fares, George Abi Saad, Ghina Ghazeeri
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2013/350894
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545362018041856
author Johnny Awwad
Nadine Hammoud
Chantal Farra
Farah Fares
George Abi Saad
Ghina Ghazeeri
author_facet Johnny Awwad
Nadine Hammoud
Chantal Farra
Farah Fares
George Abi Saad
Ghina Ghazeeri
author_sort Johnny Awwad
collection DOAJ
description Background. Desmoids are benign tumors, with local invasive features and no metastatic potential, which have rarely been described to be pregnancy associated. Case. We described the rapid growth of an anterior abdominal wall mass in a 40-year-old pregnant woman. Due to its close proximity to the enlarged uterus, it was misdiagnosed to be a uterine leiomyoma by ultrasound examination. Final tissue diagnosis and radical resection were done at the time of abdominal delivery. Conclusion. Due to the diagnostic limitations of imaging techniques, desmoids should always be considered when the following manifestations are observed in combination: progressive growth of a solitary abdominal wall mass during pregnancy and well-delineated smooth tumor margins demonstrated by imaging techniques. This case emphasizes the importance of entertaining uncommon medical conditions in the differential diagnosis of seemingly common clinical manifestations.
format Article
id doaj-art-43806fb341dc46c49f439359bc9b87b3
institution Kabale University
issn 2090-6684
2090-6692
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Obstetrics and Gynecology
spelling doaj-art-43806fb341dc46c49f439359bc9b87b32025-02-03T07:25:54ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/350894350894Abdominal Wall Desmoid during Pregnancy: Diagnostic ChallengesJohnny Awwad0Nadine Hammoud1Chantal Farra2Farah Fares3George Abi Saad4Ghina Ghazeeri5Department of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, LebanonDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, LebanonDepartment of Pathology and Laboratory Medicine, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, LebanonDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, LebanonDepartment of Surgery, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, LebanonDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, LebanonBackground. Desmoids are benign tumors, with local invasive features and no metastatic potential, which have rarely been described to be pregnancy associated. Case. We described the rapid growth of an anterior abdominal wall mass in a 40-year-old pregnant woman. Due to its close proximity to the enlarged uterus, it was misdiagnosed to be a uterine leiomyoma by ultrasound examination. Final tissue diagnosis and radical resection were done at the time of abdominal delivery. Conclusion. Due to the diagnostic limitations of imaging techniques, desmoids should always be considered when the following manifestations are observed in combination: progressive growth of a solitary abdominal wall mass during pregnancy and well-delineated smooth tumor margins demonstrated by imaging techniques. This case emphasizes the importance of entertaining uncommon medical conditions in the differential diagnosis of seemingly common clinical manifestations.http://dx.doi.org/10.1155/2013/350894
spellingShingle Johnny Awwad
Nadine Hammoud
Chantal Farra
Farah Fares
George Abi Saad
Ghina Ghazeeri
Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges
Case Reports in Obstetrics and Gynecology
title Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges
title_full Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges
title_fullStr Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges
title_full_unstemmed Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges
title_short Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges
title_sort abdominal wall desmoid during pregnancy diagnostic challenges
url http://dx.doi.org/10.1155/2013/350894
work_keys_str_mv AT johnnyawwad abdominalwalldesmoidduringpregnancydiagnosticchallenges
AT nadinehammoud abdominalwalldesmoidduringpregnancydiagnosticchallenges
AT chantalfarra abdominalwalldesmoidduringpregnancydiagnosticchallenges
AT farahfares abdominalwalldesmoidduringpregnancydiagnosticchallenges
AT georgeabisaad abdominalwalldesmoidduringpregnancydiagnosticchallenges
AT ghinaghazeeri abdominalwalldesmoidduringpregnancydiagnosticchallenges