Anomaly of Deep Inferior Epigastric Vessels detected at the Elevation of Rectus Abdominis Musculocutaneous Flap: A Case Report.

Han, Kyu Nam; Chang, Hak

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(4):480-482.
Published online July 1, 2008.

Anomaly of Deep Inferior Epigastric Vessels detected at the Elevation of Rectus Abdominis Musculocutaneous Flap: A Case Report.

Kyu Nam Han, Hak Chang

Research Institute of Plastic and Reconstructive Surgery, Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. Hchang@snu.ac.kr

Abstract

PURPOSE
Unexpected vascular anomaly can make the surgeon embarrassing and even affects on the operative results of free flap reconstruction. We experienced one case of abnormal course of deep inferior epigastric vessels during the elevation of rectus abdominis musculocutaneous free flap for breast reconstruction. METHODS: A 38-year-old female patient who had modified radical mastectomy on her left breast underwent delayed breast reconstruction with rectus abdominis musculocutaneous free flap.
RESULTS
Flap elevation was performed in the traditional manner. During the flap elevation, it was detected that the deep inferior epigastric vessels ran between the rectus abdominis muscle and anterior rectus sheath along the midline after traversing the rectus muscle. The reconstructive surgery was successful and there were no postoperative complications.
CONCLUSION
This is the first case reported in Korea. We should always know about the possibilities of unexpected anomaly that we can encounter.

Keywords: Anomaly; Deep inferior epigastric vessels