Bilateral Axillary Polymastia - Clinical Case

Abstract

We report the case of a 25-year-old woman with a history of subclinical hyperthyroidism, chronic iron deficiency anemia, and anxiety, followed throughout her first pregnancy. During gestation, bilateral axillary accessory breast tissue was detected and confirmed by breast ultrasound (BI-RADS 1). Pregnancy was globally uneventful, with occasional discomfort, fatigue, and Braxton Hicks contractions in the third trimester. At 37+3 weeks, premature rupture of membranes complicated by umbilical cord prolapse led to an emergent cesarean section for fetal distress. The male newborn weighed 2770 g with an Apgar score of 10/10. In the early postpartum period, the mother opted for lactation inhibition with cabergoline due to symptomatic enlargement of accessory breast tissue. This case highlights the importance of integrated monitoring of pre-existing conditions, proper investigation of uncommon clinical findings, and prompt obstetric intervention in emergencies.