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Case Reports
. 2016 May 9;2016(5):rjw048.
doi: 10.1093/jscr/rjw048.

Metachronous carcinoma of rectum with reconstruction of a full-thickness abdominal wall defect using a pedicled anterolateral thigh flap

Amy Siu Yan Kok  1
Affiliations
Case Reports

Metachronous carcinoma of rectum with reconstruction of a full-thickness abdominal wall defect using a pedicled anterolateral thigh flap

Amy Siu Yan Kok. J Surg Case Rep. .

Abstract

Reconstruction of large, complex defects of the abdominal wall after resection of malignant tumors can be challenging. The transfer of an anterolateral thigh (ALT) flap is a feasible and effective option. However, no report has been published on the use of ALT flap after metachronous colonic tumor resection so far. We present an original case of resection of metachronous carcinoma of rectum with reconstruction of the abdominal wall defect using an ALT flap harvested with its aponeurosis. The postoperative course was uncomplicated. Functional and esthetic results were satisfactory. There was no postoperative incisional hernia or tumor recurrence. We conclude that abdominal wall defects of large sizes can be successfully reconstructed using an appropriately designed ALT flap; a simple, single-stage effective reconstruction.

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Figures

Figure 1:
Figure 1:
Peristomal abscess.
Figure 2:
Figure 2:
(A) Preoperative flap size estimation; (B) perforator originating from descending branch of LCFA.
Figure 3:
Figure 3:
Intraoperative view shows an extensive defect over left side of the abdomen after tumor was resected.
Figure 4:
Figure 4:
Postoperative view of patient at 3 months.
See this image and copyright information in PMC

References

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