ABSTRACT
We report a case of microsurgical replantation of a degloved finger in a manual worker. Four months following replantation, avascular necrosis of the middle and distal phalanges was apparent. Amputation at the level of the proximal phalanx was performed. Re-plantation is the solution of choice for such degloving injuries, but a different flap can be used if replantation is not possible. Avascular necrosis of bone is an unfrequent complication, but surgeons should be aware of it.
Subject(s)
Finger Injuries/surgery , Osteonecrosis/etiology , Plastic Surgery Procedures/adverse effects , Postoperative Complications , Accidents, Occupational , Adult , Amputation, Surgical/methods , Finger Injuries/pathology , Humans , Male , Microsurgery/adverse effects , Microsurgery/methods , Osteonecrosis/pathology , Plastic Surgery Procedures/methods , Surgical FlapsABSTRACT
The authors report a case of syringomatous tumor of the nipple in a 35-year-old woman, discovered incidentally during investigation of dysmenorrhea. After limited resection-biopsy of a cystic nipple tumor, histological results indicated the need for a partial central mastectomy with areola and nipple amputation. Although this tumor is classified as an adenoma, considered to be a benign lesion, syringomatous adenoma of the nipple is a potentially locally aggressive tumor, at risk of local recurrence and deep invasion of the mammary gland. This is a rare tumor (only 18 cases have been reported in the literature), and the histological diagnosis can be difficult, with possible confusion with a nipple duct adenoma, or tubular carcinoma.
