Complex abdominal wall reconstruction after oncologic resection in a sequalae of giant omphalocele: A case report

Ritz, Frederica Jessie Tchoungui; Poumellec, Marie Anne; Maertens, Alexandra; Sebastianelli, Lionel; Camuzard, Olivier; Balaguer, Thierry; Iannelli, Antonio

doi:10.1016/j.ijscr.2021.105707

Cited by 2 publications

(1 citation statement)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The nature of the composite mesh makes it prone to providing lasting abdominal support through its safe placement directly onto the bowel, resistance to degradation in vitro and excellent biocompatibility[ 19 , 20 ]. Trauma injuries and tumor resection are the most common causes of large abdominal wall defects[ 16 , 21 ]. Complete resection of abdominal wall lesions is feasible, but preoperative assessment of the defect is the primary consideration for appropriate abdominal reconstruction[ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Plastic surgery for giant metastatic endometrioid adenocarcinoma in the abdominal wall: A case report and review of literature

Wang¹,

Wang²,

Liang³

et al. 2022

WJCC

View full text Add to dashboard Cite

BACKGROUND Endometrial cancer (EC) is a common gynecological malignancy, but metastasis to the abdominal wall is extremely rare. Therefore, an appropriate treatment approach for large metastatic lesions with infection remains a great challenge. CASE SUMMARY We report the case of a 65-year-old woman who developed abdominal metastasis of endometrioid adenocarcinoma, as defined by International Obstetrics and Gynecology stage II, in which the lesion was complicated by infection. A right hemicolectomy was performed for colon metastasis in relation to her initial gynecological cancer 3 years ago. When admitted to our department, a complete resection of the giant abdominal wall lesion was performed, and a Bard composite mesh was used to reconstruct the abdominal wall. A local flap was used to close the resultant large defect in the external covering of the abdomen. The patient underwent chemotherapy following cytoreductive surgery. Pathology revealed metastasis of EC, and molecular subtyping showed copy number high of TP53 mutation, implying a poor prognosis. CONCLUSION When EC patients develop giant abdominal wall metastasis, a plastic surgeon should be included before contemplating resection of tumors.

show abstract