| Autor: |
Willing SJ; Department of Diagnostic Radiology, University of Louisville, KY 40202., Pursell SH, Koch SR, Tobin GR |
| Jazyk: |
angličtina |
| Zdroj: |
AJR. American journal of roentgenology [AJR Am J Roentgenol] 1991 May; Vol. 156 (5), pp. 1001-4. |
| DOI: |
10.2214/ajr.156.5.1826803 |
| Abstrakt: |
The distally based rectus abdominis myocutaneous flap is used in a new technique for vaginal reconstruction after pelvic exenteration for malignant disease. We identified 27 patients who underwent this procedure, of whom eight had a total of 14 postoperative CT scans and two CT-directed biopsies. The myocutaneous flap appeared as a unilateral arcuate band of soft tissue extending from the linea alba to the rectal fascia or sacrum. Additional CT findings included asymmetric thinning of the ventral abdominal wall (7/8), fluid collections (2/8), vaginal breakdown (1/8), presacral soft-tissue thickening (6/8), and tumor recurrence (3/8). The postoperative CT scan reflects the altered anatomy produced by the surgery. Complications and recurrent disease can be recognized as deviations from the normal postoperative appearance. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
