Bilateral breast necrosis secondary to gestational gigantomastia

Bilateral gestational gigantomastia (GG) is a very rare occurrence in pregnancy. Life-threatening pressure sores, extensive breast skin and subcutaneous tissue necrosis and sepsis may complicate the disease. Conservative management was instituted on a pregnant lady diagnosed with bilateral GG but she developed extensive breast necrosis and sepsis necessitating bilateral simple mastectomy in the 29th week with significant intra-operative haemorrhage and cardiovascular instability requiring multiple plasma expander infusion, blood transfusion and ICU care.