John Mary K, Rangwala Tasneem Husaini
Al-Wasl Hospital, Obstetrics and Gynecology, Zabeel, Dubai, Bur-Dubai, 9115, United Arab Emirates.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.11.2008.1177. Epub 2009 Jun 4.
A case of massive hypertrophy of the breasts in pregnancy was seen in our institution, which is a tertiary referral centre for the United Arab Emirates region with a delivery rate of 7000/year. It is a very rare condition (1 in 100000) and the only case seen in our hospital over the past 20 years. No similar case has been reported from the United Arab Emirates or Gulf regions, to our knowledge. The patient presented at a gestational age of 18 weeks on account of progressive swelling of the breasts which started at 14 weeks' gestation. In pregnancy she was managed conservatively with analgesics, bromocriptine and breast support. She had bilateral reduction mammoplasty 1 year after delivery. The outcome was satisfactory, and the patient was pleased with the cosmetic result.