The ‘Sartorius Switch’ and its relevance for the radiologist

Summary We report the case of a 43 year old female patient, who underwent a left groin dissection 5 years after her original diagnosis of a 3.8 mm Breslow thickness malignant melanoma of her left leg, where the appearance of a post-operative computed tomography (CT) scan caused diagnostic misunderst...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2009-12, Vol.62 (12), p.e578-e579
Main Authors: Nayar, R, Brackley, P, Wide, J, Green, A.R
Format: Article
Language:English
Subjects:
Adult
False Positive Reactions
Female
Groin
Groin dissection
Humans
Lymph Node Excision
Lymphatic Metastasis
Melanoma - diagnostic imaging
Melanoma - secondary
Melanoma - surgery
Muscle, Skeletal - transplantation
Plastic Surgery
Sartorius switch
Skin Neoplasms - surgery
Tomography, X-Ray Computed
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Summary:Summary We report the case of a 43 year old female patient, who underwent a left groin dissection 5 years after her original diagnosis of a 3.8 mm Breslow thickness malignant melanoma of her left leg, where the appearance of a post-operative computed tomography (CT) scan caused diagnostic misunderstanding. This case demonstrates the importance of providing the radiologists with accurate information regarding surgical procedures prior to imaging such that misinterpretations of this kind can be avoided. Whilst the detail of an operation may be obvious to the surgical team, one cannot expect radiologists to be aware of either standard procedural detail, or indeed new surgical developments.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2008.11.030