Langer's arch: a rare anomaly affects axillary lymphadenectomy
Identifieur interne : 001C18 ( Main/Exploration ); précédent : 001C17; suivant : 001C19Langer's arch: a rare anomaly affects axillary lymphadenectomy
Auteurs : Ahmed M. Al Maksoud [Irlande (pays)] ; Adel K. Barsoum [Égypte] ; Mohammed M. Moneer [Égypte]Source :
- Journal of Surgical Case Reports [ 2042-8812 ] ; 2015.
Abstract
Langer's arch is the best-known anatomic variant of definite surgical implication in the region of the axilla. This rare anomaly is a muscular slip extending from the latissimus dorsi (LD) muscle to the tendons, muscles or fasciae around the superior part of the humerus. In this report, we present a rare case of left axillary arch. During modified radical mastectomy for breast cancer, we encountered an abnormal muscle slip crossing the axilla from the LD muscle to the posterior surface of the pectoralis major muscle anterior to the neurovascular structures. Preoperative knowledge is essential to identify such unusual anomaly and avoid potential complications both intra- and postoperatively.
Url:
DOI: 10.1093/jscr/rjv159
PubMed: 26712801
PubMed Central: 4691663
Affiliations:
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Al Maksoud</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of</addr-line><addr-line>Surgery</addr-line>,<institution>Sligo Regional Hospital</institution>,<addr-line>Sligo, Co Sligo</addr-line>,<country>Ireland</country></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Barsoum, Adel K" sort="Barsoum, Adel K" uniqKey="Barsoum A" first="Adel K." last="Barsoum">Adel K. Barsoum</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of</addr-line><addr-line>Oncosurgery</addr-line>,<institution>Mataria Teaching Hospital</institution>,<addr-line>Cairo</addr-line>,<country>Egypt</country></nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Moneer, Mohammed M" sort="Moneer, Mohammed M" uniqKey="Moneer M" first="Mohammed M." last="Moneer">Mohammed M. Moneer</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Department of</addr-line><addr-line>Oncosurgery</addr-line>,<institution>Mataria Teaching Hospital</institution>,<addr-line>Cairo</addr-line>,<country>Egypt</country></nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Surgical Case Reports</title><idno type="eISSN">2042-8812</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Langer's arch is the best-known anatomic variant of definite surgical implication in the region of the axilla. This rare anomaly is a muscular slip extending from the latissimus dorsi (LD) muscle to the tendons, muscles or fasciae around the superior part of the humerus. In this report, we present a rare case of left axillary arch. During modified radical mastectomy for breast cancer, we encountered an abnormal muscle slip crossing the axilla from the LD muscle to the posterior surface of the pectoralis major muscle anterior to the neurovascular structures. Preoperative knowledge is essential to identify such unusual anomaly and avoid potential complications both intra- and postoperatively.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kanaka, S" uniqKey="Kanaka S">S Kanaka</name></author><author><name sortKey="Pulipati, A" uniqKey="Pulipati A">A Pulipati</name></author><author><name sortKey="Gaikwad, M" uniqKey="Gaikwad M">M Gaikwad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jelev, L" uniqKey="Jelev L">L Jelev</name></author><author><name sortKey="Georgiev, G" uniqKey="Georgiev G">G Georgiev</name></author><author><name sortKey="Surchev, L" uniqKey="Surchev L">L Surchev</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kataria, K" uniqKey="Kataria K">K Kataria</name></author><author><name sortKey="Srivastava, A" uniqKey="Srivastava A">A Srivastava</name></author><author><name sortKey="Mandal, A" uniqKey="Mandal A">A Mandal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petrasek, Aj" uniqKey="Petrasek A">AJ Petrasek</name></author><author><name sortKey="Semple, Jl" uniqKey="Semple J">JL Semple</name></author><author><name sortKey="Mccready, Dr" uniqKey="Mccready D">DR McCready</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Karanlika, H" uniqKey="Karanlika H">H Karanlika</name></author><author><name sortKey="Fathalizadehb, A" uniqKey="Fathalizadehb A">A Fathalizadehb</name></author><author><name sortKey="Ilhana, B" uniqKey="Ilhana B">B Ilhana</name></author><author><name sortKey="Serin, K" uniqKey="Serin K">K Serin</name></author><author><name sortKey="Kurul, S" uniqKey="Kurul S">S Kurul</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Irlande (pays)</li><li>Égypte</li></country></list><tree><country name="Irlande (pays)"><noRegion><name sortKey="Al Maksoud, Ahmed M" sort="Al Maksoud, Ahmed M" uniqKey="Al Maksoud A" first="Ahmed M." last="Al Maksoud">Ahmed M. Al Maksoud</name></noRegion></country><country name="Égypte"><noRegion><name sortKey="Barsoum, Adel K" sort="Barsoum, Adel K" uniqKey="Barsoum A" first="Adel K." last="Barsoum">Adel K. Barsoum</name></noRegion><name sortKey="Moneer, Mohammed M" sort="Moneer, Mohammed M" uniqKey="Moneer M" first="Mohammed M." last="Moneer">Mohammed M. Moneer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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