Open AccessGiant squamous cell carcinoma as a complication of a chronic enterocutaneous fistula: complex parietal reconstruction
Author(s) -
Rebibo Lionel,
Deguines JeanBaptiste,
Prevot Flavien,
Périg David,
Sinna Raphaël,
Verhaeghe Pierre,
Regimbeau JeanMarc
Publication year - 2014
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/j.1742-481x.2012.01088.x
Subject(s) - enterocutaneous fistula , medicine , verrucous carcinoma , fistula , surgery , lymphadenectomy , abdominal wall , complication , basal cell , general surgery , cancer , pathology
Treatment of an enterocutaneous fistula is complex and may require multidisciplinary management, especially when associated with a neoplastic process. Here, we describe the case of a 59‐year‐old patient with a squamous cell carcinoma that had invaded the abdominal wall through a chronic enterocutaneous fistula identified 30 years ago. We combined parietectomy with small intestine and colon resection and inguinal lymphadenectomy in order to obtain clear surgical margins. At the same time, plastic surgery involved the implementation of a large bioprosthesis and coverage with a vastus lateralis muscle free flap.