Repair of a Giant Congenital Melanocytic Nevus with an Abdominoplasty Flap: Case Report

Congenital melonocytic nevi contains nevus cell of cells of nevus and present at birth or within the first year of life. The nevi with a size of 20 cm are called "giant" nevi. These giant congenital nevi are usually excised due to malignant potential and cosmetic concerns, however resulting wide defects are not easy to repair. Thirty seven year-old-women with a giant congenital nevus of 26 x 29 cm on her back, was admitted to our clinic. The nevus was excised and the defective area was closed with abdominoplasty flaps raised from the abdomen, sagitally splitted and rotated to the back of the patient. Congenital melanocytic nevi rarely exceed giant sizes of more than 20 cm. Total excision is necessary due to malignant potential and cosmetic concerns. Wide defective area may be repaired with various surgical techniques, however, reconstruction with abdominoplasty flaps should also be considered in the patients with an excessive abdominal tissue