BMJ Case Reports 2018; doi:10.1136/bcr-2017-221586
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)

Pelvic and buttock hypoplasia reconstructed with anatomical breast implants

Editor's Choice
  1. Garth Titley2
  1. 1 Department of Plastic Surgery, University Hospital of North Staffordshire NHS Trust, Stoke-on-Trent, UK
  2. 2 Queen Elizabeth Hospital Birmingham, Birmingham, UK
  1. Correspondence to Felicity Page, felicitypage{at}
  • Accepted 25 December 2017
  • Published 12 January 2018


Radiation therapy is used in the management of a number of childhood cancers and can have significant effects on skeletal growth. We present the case of a 35-year-old woman who developed a hypoplastic pelvis and buttocks following radiotherapy for rhabdomyosarcoma of the vagina at the age of 2. At the age of 25, the patient underwent bilateral buttock augmentation with a two-stage reconstruction using tissue expansion followed by definitive augmentation with anatomical breast implant insertion. The patient continues to have a satisfactory outcome 10 years following reconstruction, having undergone a single uplift procedure and exchange of implants through the original incision 9 years postoperatively. This case represents a unique reconstructive challenge to plastic surgeons and was successfully managed with a novel approach.


  • Contributors All authors: involved in the development, execution and editing of the work; have seen and agree to the submitted version of the case report, and bear responsibility for it. FP: contributed to the planning, conduct and write up of the case report. AH: contributed to the planning and design of the article, and the conduct and write up of the article. GT: also contributed to the conception and design, acquisition of the data and write up of the case report.

  • Disclaimer The material is original and has not been published or submitted for publication elsewhere. If accepted, the case report will not be published elsewhere in the same or similar form, in English or in any other language, without written consent of the copyright holder.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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