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Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 350894, 3 pages
http://dx.doi.org/10.1155/2013/350894
Case Report

Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges

1Department of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, Lebanon
2Department of Pathology and Laboratory Medicine, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, Lebanon
3Department of Surgery, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, Lebanon

Received 13 November 2012; Accepted 20 December 2012

Academic Editors: S. Salhan and E. Vaisbuch

Copyright © 2013 Johnny Awwad et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.