PT  - JOURNAL ARTICLE
AU  - Michael G Fadel
AU  - Michail Chatzikonstantinou
AU  - Charlotte Gilchrist
AU  - Brian Andrews
TI  - Panniculus morbidus: obesity-related abdominal wall lymphoedema
AID  - 10.1136/bcr-2016-219023
DP  - 2017 Apr 29
TA  - BMJ Case Reports
PG  - bcr-2016-219023
VI  - 2017
4099  - http://casereports.bmj.com/content/2017/bcr-2016-219023.short
4100  - http://casereports.bmj.com/content/2017/bcr-2016-219023.full
AB  - A 52-year-old female patient presented with a massive abdominal wall swelling that adversely affected her lifestyle. Imaging revealed significant subcutaneous oedema and the presence of grossly distended veins. Subsequently, she underwent a ‘toilet’ panniculectomy and abdominoplasty. We describe the surgical technique used to retract the lymphoedematous tissue facilitating excisional surgery, and discuss the pathophysiology of this condition and the possible contribution of venous obstruction to the development of subcutaneous oedema.