Spontaneous rupture of hepatocellular carcinoma (HCC) is sometimes encountered clinically. We experienced a case of spontaneous rupture of a HCC, which was surgically resected along with the diaphragm. A 74-year old woman presented with anemia. Preoperative imaging suggested a tumor arising on the diaphragm. After thoracotomy and laparotomy, the intraoperative diagnosis was changed to spontaneo...

INTRODUCTION We present the case of a patient undergoing simultaneous reconstruction of a massive soft tissue deficit of the right knee along with total knee arthroplasty and allograft reconstruction of the extensor mechanism after multiple failed attempts to repair and revise the affected joint. METHODS A latissimus dorsi myocutaneous flap was transferred to fill the soft-tissue deficit of t...

INTRODUCTION Cutaneous epidermal cysts are common lesions, but fortunately, malignant transformation of their epithelium is rare. There are only a few cases mentioned in recent literature, mostly occurring in epidermal cysts in the head and neck region. CLINICAL PICTURE We present a case of malignant transformation in a long-standing buttock epidermal cyst, presenting a month after trauma to ...

An alcoholic 50-year-old male patient with a history of schizophrenia sustained stab wounds into both ventricles and left lung, and survived following an emergency department thoracotomy. The EDT wound, however became infected requiring serial debridements of soft tissue, rib cartilage and sternum. Regional flap options such as pectoralis major and latissimus dorsi muscle flaps could not be emp...

conclusions the axillary arch variation is very clinically important, because it may entrap and implicate the neurovascular bundle. also it is important for surgeons during operation, so they need to be aware of possible presence of such variations. case presentation during routine dissection, we encountered an aberrant slip of muscle and fascia expanded from latissimus dorsi to pectoralis majo...

INTRODUCTION The latissimus dorsi (LD) myocutaneous flap has long been regarded as the second choice flap for autologous breast reconstruction following a mastectomy in our department. Despite uncertainty about donor-site morbidity, it is regarded as a relatively safe procedure; moreover, in contrast to our first choice, the deep inferior epigastric perforator flap, no microsurgical expertise i...

Abstract Introduction Total phalloplasty (TP) is used for the creation of a penis in female to male sex reassignment surgery (FTM SRS). Objective We focused our work on free flap transfer technique using latissimus dorsi myocutaneous (MLDF) order create neophallus that allows safe performance urethroplasty and two cylinders prosthesis implantation. Methods Five patient underwent surgery. A nece...