Diaphragmatic reconstruction using combined reversed extended latissimus dorsi and serratus anterior fascia flaps.

The autologous or "extended" latissimus dorsi flap is a standard technique in breast reconstruction. The authors report a case of gastrobronchial fistula after sleeve gastrectomy managed by a new option, combing a reversed "extended" latissimus dorsi flap and a serratus anterior fascia flap. It provides good quality autologous living tissue to treat thoracoabdominal infection associated with diaphragmatic necrosis. Aggressive management, such as surgical resection, should be performed for these patients with a benign but life-threatening disease.