title: Giant squamous cell carcinoma as a complication of a chronic enterocutaneous fistula: complex parietal reconstruction.
abstract: Treatment of an enterocutaneous fistula is complex and may require multidisciplinary management, especially when associated with a neoplastic process. Here, we describe the case of a 59-year-old patient with a squamous cell carcinoma that had invaded the abdominal wall through a chronic enterocutaneous fistula identified 30 years ago. We combined parietectomy with small intestine and colon resection and inguinal lymphadenectomy in order to obtain clear surgical margins. At the same time, plastic surgery involved the implementation of a large bioprosthesis and coverage with a vastus lateralis muscle free flap.
authors.affiliation: Department of Digestive Surgery, Amiens University Hospital, Jules Verne University of Picardie, Place Victor Pauchet, F-80054 Amiens Cedex 01, FranceDepartment of Plastic Surgery, Amiens University Hospital, Jules Verne University of Picardie, Place Victor Pauchet, F-80054 Amiens Cedex 01, France.
authors.forename: Lionel
authors.initials: L
authors.lastname: Rebibo
authors.forename: Jean-Baptiste
authors.initials: JB
authors.lastname: Deguines
authors.forename: Flavien
authors.initials: F
authors.lastname: Prevot
authors.forename: David
authors.initials: D
authors.lastname: Pérignon
authors.forename: Raphaël
authors.initials: R
authors.lastname: Sinna
authors.forename: Pierre
authors.initials: P
authors.lastname: Verhaeghe
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Regimbeau
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D001705:Bioprosthesis; D002294:Carcinoma, Squamous Cell / Q000209:etiology* / Q000601:surgery*; D002908:Chronic Disease; D003082:Colectomy; D003125:Colostomy; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications* / Q000601:surgery*; D007081:Ileostomy; D007412:Intestinal Fistula / Q000150:complications* / Q000601:surgery; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D019651:Plastic Surgery Procedures; D012086:Reoperation; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome