LAUSR

Editor We present an 88-year-old patient who was admitted to the clinic on the occasion of a swelling in the occipital region, the hairy part of the head, about 5 years ago (Fig. 1a). Initially, the lesion grew slowly and gradually, with a relatively rapid, progressive increase to the size of a clenched fist over the last 6 months. The patient complained at times of pain when touched, as well as heavy bleeding. During the dermatological examination, we found the presence of a soft tissue tumour formation measuring about 9 cm in diameter, round in shape, with raised and slightly undermined edges, bleeding to the touch, and when pressed, we observed the release of purulent secretions. Concomitant diseases in the patient are known: essential hypertension, atrial fibrillation and flutter and chronic ischaemic heart disease. CT of the head showed a slight involution of the external tabula in the form of osteolysis. After the preoperative consultations, a decision was made on the tumour board to operate on the patient under general anaesthesia. Preoperatively, ultrasound was performed in the department of vascular surgery in order to accurately locate and mark the arteries feeding the flap: occipital, temporal and ophthalmic. Under intratracheal anaesthesia, an