Post TRAM flap changes to abdominal wall musculature

Case contributed by Dr Chris O'Donnell

Presentation

Previous TRAM flap reconstruction of the right breast following cancer surgery. Now has abdominal pain, ? complication

Patient Data

Age: 50
Gender: Female

Deficient muscle in the lower right anterior abdominal wall associated with surgical clips.  Minor bulging of small bowel at the point of deficiency.

Case Discussion

TRAM stands for transverse rectus andominis muscle.  It is a graft of fat, skin and muscle that can be used to reconstruct the breast.  It can be either free (i.e. no connection to the donour site) or pedicled with the flap attached to its original blood vessels, tunnelled under the skin to the chest wall.

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Case Information

rID: 41696
Case created: 15th Dec 2015
Last edited: 8th May 2016
Inclusion in quiz mode: Included

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