Background: Patients born with congenital defects of their periumbilical abdominal wall, such as gastroschisis and omphalocele, are left with scars in the center of their abdomen and no umbilicus. Attempts to recreate a neoumbilicus are challenging due to the lack of sufficient local subcutaneous tissue as well as the presence of scar. Objective: To describe a technique that allows for reconstr...

Abdominal free flaps for microsurgical breast reconstruction are most commonly harvested based on the deep inferior epigastric vessels that supply skin and fat via perforators through the rectus muscle and sheath. Intact perforator anatomy and connections are vital for subsequent optimal flap perfusion and avoidance of necrosis, be it partial or total. The intraflap vessels are delicate and eas...

In this study, a Vohwinkel syndrome case is presented where in 5th digit constriction bands in the right hand were reconstructed using a distant abdominal skin flap. Vohwinkel syndrome, or keratoderma hereditarium mutilans, is a rare, autosomal dominant genetic skin condition that causes palmoplantar hyperkeratosis and constricts finger and/or toe bands. In a typical manifestation, the finger a...

Extramammary Paget disease (EMPD) is a rare neoplasm. The clinical case of a 55-year-old man with a two-year history of a pruritic, painless erythematous skin rash on the inguinal region and scrotum is described. After a delay due to improper diagnosis and improper treatments, the patient came to the attention of the Division of plastic surgery. He underwent a punch biopsy and the pathology rep...

Perineal hernia after infralevator posterior pelvic exenteration due to adenocarcinoma of the lower rectum with genital invasion: a rectus abdominis myocutaneous flap was used to repair the defect and reconstruct the vagina. The donor abdominal fascia area was reinforced with bio-absorbable mesh (BioA-Gore). On CT, ileal loops were observed with elongated mesentery in the pelvis and perineum, a...

Successful reconstruction of extensive anterior chest wall defect following major electrical burn represents a very challenging surgery. Herein we report the first case using pedicled full-thickness abdominal flap combined with skin grafting to treat this injury with severe infection and exposure of pericardium and ribs in a Chinese patient. Following the performance of chest debridement to rem...

An abdominal advancement flap (AAF) is a flap that pulls the elevated abdominal skin up and creates the shape of the inferior portion of the breast by making a neo-inframammary fold. Seven patients underwent remodeling using an AAF or a method combining an AAF with other volume displacement techniques after partial mastectomy. The excision volume ranged from 15% to 35%. AAF with only mobilizati...

Abstract We present a case report of an unexpected pathology in addition to rare complication 62-year-old female following anterior exenteration and abdominal wall reconstruction. Initial biopsies characterised the malignancy as potential urachal adenocarcinoma, but final revealed solitary endometrial adenocarcinoma metastasis from cancer 6 years previously. Due nature tumour, resection was req...

To cite: Mannu GS, Vaidya A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202692 DESCRIPTION A 28-year-old woman underwent bowel resection for Crohn’s disease at the age of 9 years with 90 cm of small bowel remaining. She underwent isolated small bowel and abdominal wall transplantation and was taking tacrolimus immunosuppression therapy. She subsequently p...

Angie Zhang, BA,a Amra Kuc, BS,a Paul Smith, MD,b Amanda Zimmerman, MD,b Alicia Billington, MD,b Ricardo J. Gonzalezc and Deniz Dayicioglu, MDb aMorsani College of Medicine, University of South Florida, Tampa; bDivision of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University of South Florida, Tampa; and cSarcoma Department, H. Lee Moffitt Cancer Center and Research In...