Abstract
Anastomotic leakage is a severe complication of esophagectomy. Development of an enterocutaneous fistula after
anastomotic leakage often occurs after subcutaneous-route reconstruction at esophagectomy. Pectoralis myocutaneous
flap (PMCF) repair has recently been performed when an enterocutaneous fistula was refractory to conservative treatment.
However, this procedure requires a conspicuous incision and results in deformity of the breast especially in female patient.
We performed pectoralis muscle flap (PMF) repair for a 50-year-old woman with a refractory enterocutaneous fistula after
salvage esophagectomy. We made an oblique incision along the inframammary crease in order to avoid a conspicuous scar
and moved the PMF under the mammary gland to the site of anastomosis. This method was effective for repairing a
refractory enterocutaneous fistula, with especially good aesthetic results in a female patient.
