case_images: PMC4600867_01
case_images: Gunshot wound with arrow pointing at the bullet exit.
case_images: CRIS2015-219535.001.jpg
case_images: PMC4600867_01_CRIS2015-219535.001.jpg
case_images: fig1
case_images: T7 spine level measuring about 5 cm in diameter (Figure 1). The wound was managed with serial surgical debridement. Tissue taken for culture and sensitivity grew Escherichia coli sensitive to cefuroxime among other antibiotics.
case_images: Perforator fasciocutaneous flap with arrow pointing to the blood vessels.
case_images: CRIS2015-219535.002.jpg
case_images: PMC4600867_01_CRIS2015-219535.002.jpg
case_images: fig2
case_images: A fasciocutaneous flap was then fashioned on this perforator (Figure 2).
case_images: Island latissimus dorsi segmental muscle flap.
case_images: CRIS2015-219535.003.jpg
case_images: PMC4600867_01_CRIS2015-219535.003.jpg
case_images: fig3
case_images: A segment of the muscle was then raised as an island flap based on one of the vessels through the paraspinous muscle (Figure 3).
case_images: Latissimus dorsi muscle inserted into the defect.
case_images: CRIS2015-219535.004.jpg
case_images: PMC4600867_01_CRIS2015-219535.004.jpg
case_images: fig4
case_images: The muscle flap was then mobilized and used to fill the dura and the muscle defect over the spine in two layers (Figure 4).
case_images: Wound completely covered with the fasciocutaneous flap with a drain in situ.
case_images: CRIS2015-219535.005.jpg
case_images: PMC4600867_01_CRIS2015-219535.005.jpg
case_images: fig5
case_images: A closed drain was put between the two flaps (Figure 5).
case_images: Wound fully healed 2 weeks after surgery.
case_images: CRIS2015-219535.006.jpg
case_images: PMC4600867_01_CRIS2015-219535.006.jpg
case_images: fig6
case_images: There were no complications and the wounds had healed completely at about two weeks after surgery (Figure 6).