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American Journal of Roentgenology, Vol 156, 1001-1004, Copyright © 1991 by American Roentgen Ray Society

ARTICLES

Vaginal reconstruction with rectus abdominis myocutaneous flap: CT findings

SJ Willing, SH Pursell, SR Koch and GR Tobin
Department of Diagnostic Radiology, University of Louisville, KY 40202.

The distally based rectus abdominis myocutaneous flap is used in a new technique for vaginal reconstruction after pelvic exenteration for malignant disease. We identified 27 patients who underwent this procedure, of whom eight had a total of 14 postoperative CT scans and two CT-directed biopsies. The myocutaneous flap appeared as a unilateral arcuate band of soft tissue extending from the linea alba to the rectal fascia or sacrum. Additional CT findings included asymmetric thinning of the ventral abdominal wall (7/8), fluid collections (2/8), vaginal breakdown (1/8), presacral soft-tissue thickening (6/8), and tumor recurrence (3/8). The postoperative CT scan reflects the altered anatomy produced by the surgery. Complications and recurrent disease can be recognized as deviations from the normal postoperative appearance.
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Copyright © 1991 by the American Roentgen Ray Society.