PMC3196998_01
Radiodermatitis measuring 8 x 5 cm occurred within months after coronary dilatation and stenting.
RRP2011-201839.001.jpg
PMC3196998_01_RRP2011-201839.001.jpg
fig1
The lesion persisted in spite of treatment by dermatologists over 5 years (Figure 1).
Magnetic resonance imaging (MRI) showing changes in the subcutaneous tissue extending to the ribs.
RRP2011-201839.002.jpg
PMC3196998_01_RRP2011-201839.002.jpg
fig2
(a) Necrotic muscle covering the rib after the removal of radiodermatitis. (b) Situs after partial removal of the 4th rib.
RRP2011-201839.003.jpg
PMC3196998_01_RRP2011-201839.003.jpg
fig3
During the operation, next to the soft tissues, the central portion of the 4th rib was found to be necrotic and had to be removed (Figures 3(a) and 3(b)).
Wound healed after reconstruction of the defect with a latissimus dorsi transposition flap.
RRP2011-201839.004.jpg
PMC3196998_01_RRP2011-201839.004.jpg
fig4
During the course of hospitalization the flap healed without complications (Figure 4).