Case 07 2026: Reconstruction of a Complex Epigastric Abdominal Wall Defect Following Wide Excision of Giant Fibrosarcoma Using Prolene mesh and Modified Keystone Flap in a Resource-Limited Setting: A Case Report”

Abdirahman Abdifatah Mohamed; Numan Omar Ibrahim; Rose Alenyo; Kalanzi Edris

इस लेख को कैसे उद्धृत करें

Abdirahman Abdifatah Mohamed, Numan Omar Ibrahim, Rose Alenyo, Kalanzi Edris. Case 07 2026: Reconstruction of a Complex Epigastric Abdominal Wall Defect Following Wide Excision of Giant Fibrosarcoma Using Prolene mesh and Modified Keystone Flap in a Resource-Limited Setting: A Case Report”. Journal of Plastic, Breast & Reconstructive Surgery. 2026.

ओपन एक्सेस। © 2026 लेखक(गण)। Journal of Plastic, Breast & Reconstructive Surgery द्वारा प्रकाशित। इस केस का कॉपीराइट लेखक(गण) और पत्रिका के बीच साझा है; लेखक शिक्षा, प्रस्तुतियों और सोशल मीडिया के लिए अपने स्वयं के केस का पुन: उपयोग कर सकते हैं।

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संबंधित केस

Case 07 2026: Reconstruction of a Complex Epigastric Abdominal Wall Defect Following Wide Excision of Giant Fibrosarcoma Using Prolene mesh and Modified Keystone Flap in a Resource-Limited Setting: A Case Report”

Abdirahman Abdifatah Mohamed, Numan Omar Ibrahim, Rose Alenyo, Kalanzi Edris

प्रकाशित 28 मई 2026182 बार देखा गया5 मिनट का पठन

एक्सपोर्ट करें:RIS BibTeX

सारांश

Fibrosarcoma is a rare soft tissue sarcoma with aggressive local infiltration and high recurrence risk. We present a 71-year-old Ugandan man with a giant epigastric fibrosarcoma causing a complex abdominal wall defect. Imaging showed invasion of subcutaneous tissue and rectus muscle without metastasis. The patient underwent wide local excision with 5 cm margins, followed by reconstruction using Prolene mesh and a modified keystone flap with skin grafting. Recovery was uneventful, demonstrating effective surgical and reconstructive management in a resource-limited setting. Patient medical history a 71-year-old male who presented with a two-year history of a progressively enlarging anterior abdominal wall mass. The lesion initially appeared as a small, firm nodule and gradually increased in size, eventually becoming a large, fungating tumor associated with ulceration, necrosis, and intermittent bleeding. There was no history of distant symptoms suggestive of metastasis. Imaging confirmed a locally invasive epigastric mass involving the subcutaneous tissue and rectus abdominis muscle, without visceral or distant spread. Before and After Patient examination On physical examination, the patient had a large, exophytic, fungating mass located in the supraumbilical (epigastric) region of the anterior abdominal wall. The lesion was deeply invasive with irregular margins and was associated with ulceration, areas of necrosis, and active bleeding. The overlying skin was stretched, tense, and partially ulcerated. The mass appeared fixed to the underlying abdominal wall musculature, suggesting muscle involvement. There were no clinical signs of peritoneal invo

इस लेख को कैसे उद्धृत करें

संबंधित केस

Case 07 2026: Reconstruction of a Complex Epigastric Abdominal Wall Defect Following Wide Excision of Giant Fibrosarcoma Using Prolene mesh and Modified Keystone Flap in a Resource-Limited Setting: A Case Report”

सारांश

मुख्य सीख के बिंदु

Hadley GP. Management of soft tissue sarcomas in sub Saharan Africa. S Afr J Surg.Lukande RL Wabinga HR Tumwine LK. Soft tissue sarcomas in Uganda a histopathologic appraisal

Patient history

Examination

Pre-operative considerations

चरण 1 — preop excision margins

संदर्भ

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चरण 2 — Intraop post excision

चरण 3 — Intraop Flap markings

चरण 4 — Intraop Flap markings

चरण 5 — Intraop Raising Flap and Mesh Insertion

Post-operative plan

Pearls

Pitfalls