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Fig. 2 | Insights into Imaging

Fig. 2

From: Pelvi-perineal flap reconstruction: normal imaging appearances and post-operative complications on cross-sectional imaging

Fig. 2

Normal VRAM flap appearances on CT. Axial CECT of the abdomen shows absent right rectus abdominis muscle in keeping with the donor site (arrowhead). The flap passes posteriorly from the right linea alba into the pelvis. The fat density within the pelvis corresponds to the subcutaneous fat component of the flap (asterisk), whilst the strip of muscle density seen in the right hemipelvis corresponds to the donor rectus abdominis muscle (short arrow). Note the inferior epigastric artery is seen as an enhancing linear structure arising from the external iliac vessels lateral to the muscle component of the flap (long arrow)

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