Published on: 5/21/2025
A hard lump in the stomach after pregnancy could be due to scar tissue from a C-section, a rare benign tumor called a desmoid tumor, or other changes in the abdominal wall from the stress of pregnancy.
After pregnancy, especially if you had a C-section, it is not uncommon to find a hard lump in your stomach. One possible explanation is that it is scar tissue from the surgery, which forms as your body heals. Another possibility is the development of a desmoid tumor. Although not cancerous, desmoid tumors are benign growths that can happen in the abdominal wall due to changes in hormones and the stress placed on the muscles during pregnancy. These tumors may grow quickly and cause discomfort, requiring further evaluation. Additionally, everyday changes from stretching and straining during pregnancy can sometimes lead to other kinds of lumps or firmness in the abdominal wall. Because the exact cause of the lump can vary—from harmless scar tissue to a more significant issue—it is important to have any new or changing lump checked by your doctor. They can perform a physical exam and might use imaging tests, like an ultrasound or CT scan, to find out what is causing the lump and decide if any treatment is needed.
(References)
Stemmer SM, Gomes C, Cardonick EH. A Case of Painful Growing Abdominal Wall Mass during Pregnancy Requiring Resection in the Second Trimester. Case Rep Obstet Gynecol. 2024 Jan 8;2024:5881260. doi: 10.1155/2024/5881260. PMID: 38229587; PMCID: PMC10789513.
Li MH, Leng JH, Jiang Y, Lang JH. Abdominal wall lump after cesarean delivery. Obstet Gynecol. 2012 Aug;120(2 Pt 2):494-497. doi: 10.1097/AOG.0b013e318260dbda. PMID: 22825277.
Hanna D, Magarakis M, Twaddell WS, Alexander HR, Kesmodel SB. Rapid progression of a pregnancy-associated intra-abdominal desmoid tumor in the post-partum period: A case report. Int J Surg Case Rep. 2016;29:30-33. doi: 10.1016/j.ijscr.2016.10.056. Epub 2016 Oct 26. PMID: 27810608; PMCID: PMC5094289.
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