Diverticulitis Causing Failure of Deep Inferior Epigastric Flap Harvest in Breast Reconstruction
Summary:. The deep inferior epigastric perforator flap is the gold standard in autologous tissue reconstruction after mastectomies. During the course of the dissection of the pedicle for this flap, one must peel the deep inferior epigastric artery off the peritoneum. In rare occasions, scarring from...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-06-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006896 |
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| author | Nirbhay S. Jain, MD Sumun Khetpal, MD Ginger C. Slack, MD Edward H. Nahabet, MD Jaco H. Festekjian, MD |
| author_facet | Nirbhay S. Jain, MD Sumun Khetpal, MD Ginger C. Slack, MD Edward H. Nahabet, MD Jaco H. Festekjian, MD |
| author_sort | Nirbhay S. Jain, MD |
| collection | DOAJ |
| description | Summary:. The deep inferior epigastric perforator flap is the gold standard in autologous tissue reconstruction after mastectomies. During the course of the dissection of the pedicle for this flap, one must peel the deep inferior epigastric artery off the peritoneum. In rare occasions, scarring from previous abdominal surgery can result in adherence of the deep inferior epigastric artery to the peritoneum. In this report, we describe a patient with adherence of the pedicle to the sigmoid colon due to diverticulitis in the absence of surgical history, which resulted in failure of flap harvest and long-term intestinal complications. Guidelines on imaging findings that may alert the surgeon to this rare situation are also discussed. |
| format | Article |
| id | doaj-art-dda01d7191d74dd0a93d90ffca310f89 |
| institution | OA Journals |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-dda01d7191d74dd0a93d90ffca310f892025-08-20T02:10:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-06-01136e689610.1097/GOX.0000000000006896202506000-00058Diverticulitis Causing Failure of Deep Inferior Epigastric Flap Harvest in Breast ReconstructionNirbhay S. Jain, MD0Sumun Khetpal, MD1Ginger C. Slack, MD2Edward H. Nahabet, MD3Jaco H. Festekjian, MD4From the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.From the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.From the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.From the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.From the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.Summary:. The deep inferior epigastric perforator flap is the gold standard in autologous tissue reconstruction after mastectomies. During the course of the dissection of the pedicle for this flap, one must peel the deep inferior epigastric artery off the peritoneum. In rare occasions, scarring from previous abdominal surgery can result in adherence of the deep inferior epigastric artery to the peritoneum. In this report, we describe a patient with adherence of the pedicle to the sigmoid colon due to diverticulitis in the absence of surgical history, which resulted in failure of flap harvest and long-term intestinal complications. Guidelines on imaging findings that may alert the surgeon to this rare situation are also discussed.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006896 |
| spellingShingle | Nirbhay S. Jain, MD Sumun Khetpal, MD Ginger C. Slack, MD Edward H. Nahabet, MD Jaco H. Festekjian, MD Diverticulitis Causing Failure of Deep Inferior Epigastric Flap Harvest in Breast Reconstruction Plastic and Reconstructive Surgery, Global Open |
| title | Diverticulitis Causing Failure of Deep Inferior Epigastric Flap Harvest in Breast Reconstruction |
| title_full | Diverticulitis Causing Failure of Deep Inferior Epigastric Flap Harvest in Breast Reconstruction |
| title_fullStr | Diverticulitis Causing Failure of Deep Inferior Epigastric Flap Harvest in Breast Reconstruction |
| title_full_unstemmed | Diverticulitis Causing Failure of Deep Inferior Epigastric Flap Harvest in Breast Reconstruction |
| title_short | Diverticulitis Causing Failure of Deep Inferior Epigastric Flap Harvest in Breast Reconstruction |
| title_sort | diverticulitis causing failure of deep inferior epigastric flap harvest in breast reconstruction |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006896 |
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