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Case Reports in Medicine
Volume 2012 (2012), Article ID 487126, 3 pages
http://dx.doi.org/10.1155/2012/487126
Case Report

Management of Anterior Abdominal Wall Defect Using a Pedicled Tensor Fascia Lata Flap: A Case Report

Department of Surgery, College of Health Sciences, University of Nairobi, P.O. Box 19676, Nairobi 00202, Kenya

Received 2 September 2012; Revised 30 October 2012; Accepted 31 October 2012

Academic Editor: Yasuhiko Sugawara

Copyright © 2012 K. D. Ojuka et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Degloving injuries to anterior abdominal wall are rare due to the mechanism of injury. Pedicled tensor fascia lata is known to be a versatile flap with ability to reach the lower anterior abdomen. A 34-year-old man who was involved in a road traffic accident presented with degloving injury and defect at the left inguinal region, sigmoid colon injury, and scrotal bruises. At investigation, he was found to have pelvic fracture. The management consisted of colostomy and tensor fascia lata to cover the defect at reversal. Though he developed burst abdomen on fifth postoperative day, the flap healed with no complications.