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Case Reports
. 2010 Apr;147(2):e45-8.
doi: 10.1016/j.jviscsurg.2010.05.005. Epub 2010 Jun 26.

Latissimus dorsi free flap for reconstruction of extensive full-thickness abdominal wall defect. A case of desmoid tumor

V Kadoch  1 , F Bodin, S Himy, V Bollecker, A Wilk, C Bruant-Rodier
Affiliations
Case Reports

Latissimus dorsi free flap for reconstruction of extensive full-thickness abdominal wall defect. A case of desmoid tumor

V Kadoch et al. J Visc Surg. 2010 Apr.

Abstract

Desmoid tumor is a rare, benign fibroblastic tumor that is characterized by highly aggressive local invasiveness. The authors report the case of a 35-year-old male who presented with a 20 cm para-umbilical tumor invading the right rectus abdominis muscle. This required a wide excision of the abdominal wall. The resulting defect was closed with a single-stage latissimus dorsi myocutaneous free flap in combination with a prosthetic mesh reconstruction. The authors discuss the therapeutic options for management of these rare tumors and the variety of available techniques for coverage and reconstruction after extensive parietal loss of substance.

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Figures

Figure 1
Figure 1
Pre-operative appearance : 35 year old male patient with a20 cm. periumbilical mass. MRI showing infiltration of the rectus aponeurosis
Figure 2
Figure 2
Intra-operative view : after tumor résection : 25 × 25 cm. loss of substance.
Figure 3
Figure 3
Double-faced prosthetic patch placed intra-peritoneally.
Figure 4
Figure 4
Placement of the latissimus dorsi free flap.
Figure 5
Figure 5
Post-operative result at 24 months.
See this image and copyright information in PMC

References

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