{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:58:57Z","timestamp":1791219537978,"version":"4.1.0"},"reference-count":4,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,9,18]]},"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>We present a massive weight loss case who sought a correction for her left-sided implant-based breast reconstruction using an autologous approach. She had previously received a left-sided mastectomy as an infant. The initial implant-based breast reconstruction led to repeated corrective procedures. The cosmetic result was poor due to thin skin flaps, poor shape and inadequate volume; moreover, the patient experienced significant and persistent pain.<\/jats:p>\n                  <jats:p>An abdominal-based free flap was not feasible due to a prior vertical abdominoplasty, which had eliminated the availability of sufficient abdominal donor tissue. Additionally, the patient presented with lax excess tissue on the back that allowed for a combined reconstructive and body-contouring procedure. A boomerang-shaped extended latissimus dorsi flap was harvested from the back, providing adequate volume and contour to match the contralateral breast as well as achieving both functional and aesthetic goals of the back.<\/jats:p>","DOI":"10.1136\/bcr-2025-266811","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:10:14Z","timestamp":1791216614000},"page":"e266811","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Boomerang-shaped extended latissimus dorsi flap for combined breast reconstruction and body contouring following massive weight loss"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7742-6972","authenticated-orcid":false,"given":"Rasmus","family":"S\u00f8rensen","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wahida","family":"Chakari","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens Ahm","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f8rn Bo","family":"Thomsen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"2026100509100482000_19.10.e266811.1","doi-asserted-by":"crossref","first-page":"696","DOI":"10.21037\/gs-22-636","article-title":"The deep inferior epigastric perforator flap: where we started and where we are now","volume":"12","author":"Nahabedian","year":"2023","journal-title":"Gland Surg"},{"key":"2026100509100482000_19.10.e266811.2","unstructured":"Rose J , Puckett Y . Breast Reconstruction Free Flaps. 2025."},{"key":"2026100509100482000_19.10.e266811.3","doi-asserted-by":"crossref","first-page":"894","DOI":"10.21037\/gs-22-664","article-title":"Boomerang latissimus dorsi flap in immediate or delayed breast reconstruction","volume":"12","author":"Kim","year":"2023","journal-title":"Gland Surg"},{"key":"2026100509100482000_19.10.e266811.4","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.jpra.2025.08.037","article-title":"S.W.A.T. flap in plastic surgery: The latissimus dorsi. In-depth overview of a classic weapon and systematic review of its reported uses","volume":"48","author":"Andresen-Lorca","year":"2026","journal-title":"JPRAS Open"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-266811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:10:15Z","timestamp":1791216615000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-266811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":4,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,10,5]]},"published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1136\/bcr-2025-266811"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-266811","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]}}}