Mid-abdominal bulging after breast reconstruction due to peritoneal carcinomatosis of advanced gastric adenocarcinoma
- Title
- Mid-abdominal bulging after breast reconstruction due to peritoneal carcinomatosis of advanced gastric adenocarcinoma
- Author
- 김연환
- Keywords
- Gastric adenocarcinoma after breast reconstruction; DIEP free-flap breast reconstruction; Deep inferior epigastric perforator free flap; Abdominal bulging
- Issue Date
- 2011-07
- Publisher
- ELSEVIER SCI LTD, THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND
- Citation
- JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY,Vol.64 No.12 [2011],e317-e320
- Abstract
- Abdominal bulging is a relatively common complication after autologous breast reconstruction using abdominal tissues. These are usually managed conservatively for a few months before operative treatment, which consists of reinforcing the rectus sheath either using prosthetic materials or by fascia plication. Postoperative abdominal bulging after deep inferior epigastric perforator (DIEP) free-flap breast reconstruction was managed with rectus-sheath plication in a 43-year-old female patient. On recurrence of symptoms, further studies were carried out, and poorly differentiated signet-ring-cell gastric adenocarcinoma with peritoneal carcinomatosis was diagnosed. Other than weakening of the rectus sheath, increased intra-abdominal pressures from malignant ascites should be considered as an aetiology for abdominal bulging after DIEP free flaps. As surgeons, we should never overlook the possibility of rare causes of any postoperative complications. (C) 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
- URI
- http://www.sciencedirect.com/science/article/pii/S1748681511002816?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffbhttp://hdl.handle.net/20.500.11754/35889
- ISSN
- 1748-6815
- DOI
- 10.1016/j.bjps.2011.05.023
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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