title: A pregnancy complicated by mature abdominal burn scarring and its surgical solution: a case report.
abstract: Complications of pregnancy secondary to old abdominal burn scars are uncommon but have been reported. Common problems include failure of the scar to stretch (resulting in uterine displacement), maternal discomfort, and occasionally scar breakdown. We report the case of a 23-year-old patient who had a tight circumferential scar involving the majority of the abdomen. The uninvolved skin of the lower abdomen stretched remarkably, but the uterus was displaced inferiorly and anteriorly by the scar. The pregnancy progressed to term under careful supervision. After delivery, a flap created by the naturally expanded skin of the lower abdomen was used to replace a portion of the abdominal burn scar to prevent similar problems in future pregnancies. We know of no other reported case where the naturally expanded skin of pregnancy was used to reconstruct a mature burn scar.
authors.affiliation: University of New Mexico School of Medicine, Department of Surgery, Albuquerque 87131, USA.
authors.forename: J C
authors.initials: JC
authors.lastname: Webb
authors.forename: B R
authors.initials: BR
authors.lastname: Baack
authors.forename: T M
authors.initials: TM
authors.lastname: Osler
authors.forename: V H
authors.initials: VH
authors.lastname: Davis
authors.forename: L A
authors.initials: LA
authors.lastname: Izquierdo
authors.forename: N
authors.initials: N
authors.lastname: Binur
mesh_terms: D000009:Abdominal Muscles / Q000601:surgery*; D000328:Adult; D002056:Burns / Q000503:physiopathology*; D002585:Cesarean Section; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps