Flap reconstruction following excision of large tumours is a common plastic surgical procedure. Failure of the flap most often happens within the seven days of surgery and monitoring is not required beyond 3-4 days.1'2 We report a case of a 59-year-old gentleman who had an anterolateral thigh free flap for a grade II leiomyosarcoma and radiotherapy, who had flap failure 16 months, post surgery.A 59-year-old self employed heavy goods vehicle driver was referred to the sarcoma service from the general surgeons after having a lower limb swelling biopsied at the time of an elective hernia repair in February 2008.
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