Fig. 1.

CT image of a 66-year-old male with a history of advanced prostate cancer requiring pelvic exenteration that was reconstructed with a right rectus abdominis muscle flap, and then developed EC fistulae postoperatively. One year after exenteration, the patient underwent repair of the fistulae and an abdominal wall reconstruction consisting of left-sided anterior component separation and underlay reinforcement with SurgiMend 4.0 (Integra LifeSciences) (white arrows). The image was taken 4 months postoperatively where a region of the SurgiMend (Integra LifeSciences) distal to the suture line on the patient’s left side seems not to be adherent to the abdominal wall (black arrow). CT indicates computed tomography.