Diverticulitis Causing Failure of Deep Inferior Epigastric Flap Harvest in Breast Reconstruction.

Nirbhay S Jain, Sumun Khetpal, Ginger C Slack, Edward H Nahabet, Jaco H Festekjian

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Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Nirbhay S JainFrom the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.

Sumun KhetpalFrom the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.

Ginger C SlackFrom the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.

Edward H NahabetFrom the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.

Jaco H FestekjianFrom the Division of Plastic Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The deep inferior epigastric perforator flap is the gold standard in autologous tissue reconstruction after mastectomies. During the course of the dissection of the pedicle for this flap, one must peel the deep inferior epigastric artery off the peritoneum. In rare occasions, scarring from previous abdominal surgery can result in adherence of the deep inferior epigastric artery to the peritoneum. In this report, we describe a patient with adherence of the pedicle to the sigmoid colon due to diverticulitis in the absence of surgical history, which resulted in failure of flap harvest and long-term intestinal complications. Guidelines on imaging findings that may alert the surgeon to this rare situation are also discussed.

Identifiers

PMID40520497

DOI10.1097/GOX.0000000000006896

PMCPMC12165652

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.