Abdominal wall reconstruction after resection of an enterocutaneous fistula with an island pedicled anterolateral thigh perforator flap. Case report.
Entero-cutaneous fistula resulting from a locally invasive large bowel carcinoma is a difficult surgical challenge. En-bloc resection of the involved organs and the entero-cutaneous fistula tract with a healthy tissue margin will result in a composite abdominal wall defect that requires closure. Reconstructive surgical options include primary closure, components separation and the use of local, regional or free flaps with or without prosthetic mesh. We report a case of an abdominal enterocutaneous fistula secondary to a locally invasive sigmoid carcinoma, which was reconstructed with a pedicled antero-lateral thigh perforator (ALT) flap. To our knowledge, this is the first case of a malignant entero-cutaneous fistula, which was reconstructed with an ALT flap.
Departments of Surgery, Plastic Surgical Unit, University Kebangsaan Malaysia Medical Center, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
F
F
Ali
E B
EB
Safawi
Z
Z
Zakaria
N
N
Basiron
D034861:Abdominal Wall / Q000601:surgery*; D000230:Adenocarcinoma / Q000150:complications / Q000628:therapy; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis; D003125:Colostomy; D003131:Combined Modality Therapy; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011183:Postoperative Complications / Q000601:surgery*; D011468:Prostatectomy; D019651:Plastic Surgery Procedures / Q000379:methods*; D012811:Sigmoid Neoplasms / Q000150:complications / Q000628:therapy; D013524:Surgical Flaps / Q000098:blood supply; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis; D014547:Urinary Diversion; D058106:Wound Closure Techniques