title: Ischaemic necrosis of subcutaneous colonic neoesophagus: an unusual complication of presternal hypertrophic scar.
abstract: Hypertrophic scars and keloids not only pose aesthetic problems but also cause functional and anatomical dysfunction by leading to contractures and sometimes by compression of underneath structures. A 76-year-old man presented with progressive dysphagia of two months duration. Examination showed the unusual complication of a presternal hypertrophic scar, causing ischaemic necrosis of a subcutaneously-transposed colon, used for oesophageal reconstruction in a patient with inoperable carcinoma of the oesophagus. Such a complication of hypertrophic scar has never been reported in the literature.
authors.affiliation: Department of Surgery, Kasturba Medical College, Manipal 576104, Karnataka, India. dr_vikasin@yahoo.co.in
authors.forename: V
authors.initials: V
authors.lastname: Jain
authors.forename: G S
authors.initials: GS
authors.lastname: Rodrigues
authors.forename: K
authors.initials: K
authors.lastname: Gupta
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery; D000368:Aged; D017439:Cicatrix, Hypertrophic / Q000150:complications*; D003286:Contracture / Q000150:complications*; D003680:Deglutition Disorders / Q000209:etiology*; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000503:physiopathology; D007581:Jejunoileal Bypass / Q000009:adverse effects*; D008297:Male; D009336:Necrosis / Q000209:etiology* / Q000503:physiopathology; D011183:Postoperative Complications; D013249:Sternum / Q000293:injuries*