Backgrounds: The reconstruction of large full-thickness abdominal wall defects usually requires microsurgical flaps. When microsurgery is not an option, the association of two pedicled flaps can be an alternative. This association is exceptionally reported in the literature.
Case: We present the case of a 42 years old patient, with an invading bladder tumor. The tumorectomy resulted in a full thickness sub-umbilical wall defect. The large defect was reconstructed by the combination of a fasciocutaneous tensor fascia lata flap, associated with a Mc Gregor flap.Recovery was reached within 4 weeks, with minimal donor site sequelae.
Conclusion: This case is an important addition to literature regarding a simple but original technique that can be used to manage full-thickness abdominal wall defects, especially when microsurgery is not available.
Key words: abdominal wall, defect, fascia lata flap, Mc Gregor flap
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