Breast reconstruction with DIEP flap in a patient with acquired amastia. : Clinical case report.

Introduction: Microvascular breast reconstruction is a fundamental component in the comprehensive therapeutic management of patients with congenital or acquired conditions that severely affect the anatomy and function of the breast. This challenge becomes even more complex when amastia results from...

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Bibliographic Details
Main Author: Garrel, Marcos (author)
Other Authors: Fraga, Liber (author), Wolff, Daniel (author), Prego, Camilo (author)
Format: article
Language:Spanish
English
Portuguese
Published: 2025
Subjects:
Online Access:https://revista.scu.org.uy/index.php/cir_urug/article/view/5913
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Summary:Introduction: Microvascular breast reconstruction is a fundamental component in the comprehensive therapeutic management of patients with congenital or acquired conditions that severely affect the anatomy and function of the breast. This challenge becomes even more complex when amastia results from traumatic events or severe skin and soft tissue infections. Objective: To present an unusual clinical case of amastia secondary to a severe neonatal skin and soft tissue infection, and to highlight the reconstructive approach used, with an emphasis on its therapeutic value. Materials and Methods: We report the case of an adult female patient with acquired amastia as a sequela of an infectious process of the trunk during the neonatal period. The treatment involved breast reconstruction using a deep inferior epigastric artery perforator (DIEP) free flap, followed by contralateral symmetrization. Discussion and Conclusions: This case underscores the importance of individualized planning and surgical expertise in complex breast reconstruction, contributing to both the physical and psychological well-being of patients affected by this rare condition.