PMC3549445_01
Abdominal CT scan shows an heterogeneous mass of the left iliaca fossa
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F0001
Abdominal computed tomography scan (CT scan) demonstrated an heterogeneous para-ombilical tumor involving the left rectus abdominis muscle (Figure 1).
Operating view shows the abdominal wall defect reconstructed with a double layer mash
PAMJ-13-60-g002.jpg
PMC3549445_01_PAMJ-13-60-g002.jpg
F0002
The resulting defect in the abdominal wall measured 15/15 cm. it was repaired by a double layer mesh which was covered by a bepedicled flap using the anterior fascia of the controlateral rectus abdominis, combined with an advancement of the posterior fascia after a dissection between the residual external and internal oblique muscles (Figure 2, Figure 3).
Operating view shows the coverage by a bepedicled fascial flap after reconstruction
PAMJ-13-60-g003.jpg
PMC3549445_01_PAMJ-13-60-g003.jpg
F0003
The resulting defect in the abdominal wall measured 15/15 cm. it was repaired by a double layer mesh which was covered by a bepedicled flap using the anterior fascia of the controlateral rectus abdominis, combined with an advancement of the posterior fascia after a dissection between the residual external and internal oblique muscles (Figure 2, Figure 3).