Post TRAM flap changes to abdominal wall musculature
Previous TRAM flap reconstruction of the right breast following cancer surgery. Now has abdominal pain, suspected complication
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Deficient muscle in the lower right anterior abdominal wall associated with surgical clips. Minor bulging of small bowel at the point of deficiency.
TRAM stands for transverse rectus abdominis muscle. It is a graft of fat, skin, and muscle that can be used to reconstruct the breast. It can be either free (i.e. no connection to the donour site) or pedicled, with the flap attached to its original blood vessels, tunnelled under the skin to the chest wall.