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CC BY 4.0 · Arch Plast Surg
DOI: 10.1055/a-2303-4940
Case Report

A Rare Case of Primary Sarcoma Arising Within Free Muscle Transfer

Anchal Jain    *
1   Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, United Kingdom
,
Bilal Rafique    *
1   Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, United Kingdom
,
Amer J. Durrani 
1   Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, United Kingdom
,
Ahid Abood 
1   Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, United Kingdom
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Abstract

Soft tissue sarcomas are one of the rarest forms of cancer. We describe a unique case of a 35-year-old patient who sustained an open lower limb fracture requiring an intramedullary nail and free latissimus dorsi (LD) muscle flap reconstruction. He had a complex postoperative course including osteomyelitis, a refracture, and chronic pain. Eleven years following the injury, he presented with pain and localized swelling around the flap. Histological analysis confirmed a rhabdomyosarcoma within the LD muscle and he underwent a transfemoral amputation. He is now in remission and walks on a prosthesis pain-free.

Keywords

sarcoma - lower limb trauma - reconstruction - flap - wound healing

Authors' Contributions

A.J.: conceptualization (equal), data curation (lead), formal analysis (lead), resources (equal), visualization (equal), writing - original draft (lead), writing - review & editing (equal).

B.R.: conceptualization (equal), data curation (supporting), formal analysis (lead), resources (equal), visualization (equal), writing - original draft (supporting), writing - review & editing (equal).

A.J.D.: conceptualization (supporting), resources (supporting), visualization (supporting).

A.A.: conceptualization (lead), data curation (supporting), formal analysis (supporting), resources (supporting), visualization (supporting), writing - review & editing (supporting).


Ethical Approval

Institutional approval is not relevant/not applicable to case reports.


Patient Consent

In accordance with ethical guidelines, the authors confirm that informed consent was obtained from the patient for the publication of their case report, documenting the process in their medical records and ensuring voluntary participation with full understanding of the implications involved.


* Joint first authorship: These two authors have worked together on this publication and contributed equally to the work.




Publication History

Received: 30 October 2023

Accepted: 03 April 2024

Accepted Manuscript online:
10 April 2024

Article published online:
10 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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