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Complex abdominal wall reconstruction after radiation therapy

A full-thickness defect was repaired with a rectus femoris myofasciocutaneous flap
      Usually, cervical cancer metastasizes to the pelvis or distant organs; on rare occasions, it recurs at the abdominal wall. In 1 such case, a 31-year-old woman was admitted with a bleeding tumor and enterocutaneous fistula of the abdominal wall. Two years earlier, she underwent radical abdominal hysterectomy followed by whole-pelvis radiation therapy (total dose, 60 Gy) for squamous cell carcinoma of the cervix. After treatment concluded, a painful abdominal nodule formed and grew rapidly. A period of intense pain was promptly relieved when an intestinal secretion was spontaneously discharged from the growth. At that time, the patient presented to the emergency department at another institution, where urgent surgery to correct the fistula was unsuccessful. A colostomy at the splenic flexure was done but was never functional.
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