Combined lymphovenous anastomosis and deep inferior epigastric perforator flap with lymphatic tissue preservation for defect reconstruction and lymphedema‐lymphocele prevention after medial thigh sarcoma resection: A case report

Microsurgery ◽  
2020 ◽  
Vol 40 (5) ◽  
pp. 598-603 ◽  
Author(s):  
Mario F. Scaglioni ◽  
Matteo Meroni ◽  
Alberto Franchi ◽  
Elmar Fritsche
Keyword(s):  
Case Report ◽  
Perforator Flap ◽  
Tissue Preservation ◽  
Lymphatic Tissue ◽  
Defect Reconstruction ◽  
Medial Thigh ◽  
Deep Inferior Epigastric Perforator ◽  
Lymphovenous Anastomosis

Aesthetic Refinements in Breast Augmentation with Deep Inferior Epigastric Perforator Flap: A Case Report

2003 ◽  
Vol 27 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Alexandre Mendon�a Munhoz ◽  
Luis Henrique Ishida ◽  
Gustavo Gibin Duarte ◽  
Marcelo Sacramento Cunha ◽  
Eduardo Montag ◽  
...  
Keyword(s):  
Case Report ◽  
Breast Augmentation ◽  
Perforator Flap ◽  
Deep Inferior Epigastric Perforator

scholarly journals Pyoderma Gangrenosum Following Deep Inferior Epigastric Perforator (DIEP) Breast Reconstruction: A Case Report

2020 ◽  
Vol 6 ◽  
pp. 2513826X1989880
Author(s):  
Nicholas Stone ◽  
Victoria E. McKinnon ◽  
Judy Wismer ◽  
Mark H. McRae
Keyword(s):  
Case Report ◽  
Breast Reconstruction ◽  
Pyoderma Gangrenosum ◽  
Early Recognition ◽  
Wound Care ◽  
Perforator Flap ◽  
Severe Case ◽  
Caucasian Woman ◽  
Full Resolution ◽  
Deep Inferior Epigastric Perforator

Pyoderma gangrenosum (PG) is a rare dermatologic condition manifesting as sterile, rapidly progressing painful skin ulcerations. It is commonly associated with autoimmune disorders such as inflammatory bowel disease. This case report illustrates a severe case of post-surgical pyoderma gangrenosum (PSPG) following bilateral deep inferior epigastric perforator flap breast reconstruction in a 56-year-old Caucasian woman. Factors delaying diagnosis included negative personal/family history of inflammatory disorders and a clinical presentation more suggestive of breast cellulitis. Refractory antibiotic therapy, subsequent ulceration at multiple breast and abdominal incisions, and pathergic response to tissue biopsy supported an eventual clinical diagnosis of PSPG, 12 days postoperatively, despite equivocal histopathologic findings. Initiation of intravenous immunoglobulin, prednisone therapy, local wound care, and avoidance of debridement led to a full resolution by 5 months postoperatively. This study raises awareness for PSPG and highlights the importance of early recognition and urgent dermatology consultation to expedite optimal treatment and minimize subsequent fat necrosis.

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