Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges

Farah Fares,Chantal Farra,George Abi Saad,Ghina Ghazeeri,Nadine Hammoud,Johnny Awwad

doi:10.1155/2013/350894

Farah Fares, Chantal Farra + Show 4 more

Open Access

https://doi.org/10.1155/2013/350894

Copy DOI

Abstract

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.

Highlights

BackgroundWith local invasive features and no metastatic potential, which have rarely been described to be pregnancy associated
Desmoid tumors are benign slowly growing broblastic neoplasms that arise from muscle fascia or aponeurosis
We report on a desmoid tumor that developed during the course of pregnancy and was misdiagnosed to be a uterine leiomyoma by ultrasonography

Summary

Background

With local invasive features and no metastatic potential, which have rarely been described to be pregnancy associated. 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. 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. Is case emphasizes the importance of entertaining uncommon medical conditions in the differential diagnosis of seemingly common clinical manifestations 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. is case emphasizes the importance of entertaining uncommon medical conditions in the differential diagnosis of seemingly common clinical manifestations

Introduction

Case Presentation

Discussion