Utilisation of the falciform ligament pedicle flap as an alternative approach for the repair of a perforated gastric ulcer.
BMJ Case Rep
; 20162016 Apr 21.
Article
en En
| MEDLINE
| ID: mdl-27102415
ABSTRACT
An 83-year-old woman presented to the emergency department with sudden onset of severe abdominal pain. She had a background of ulcerative colitis managed surgically at the age of 18â
years with panproctocolectomy and permanent ileostomy. On admission, clinical assessment suggested a visceral perforation and an urgent CT scan demonstrated a perforated prepyloric ulcer. Emergency laparotomy was performed and confirmed a 3â
cm perforated pre-pyloric ulcer. Repair of the defect was challenging due to the absence of omental fat to patch the perforation. A modification to the standard technique was therefore performed the falciform ligament was mobilised and its free end used as a patch to repair the defect. The patient made a good postoperative recovery. This case report highlights an alternative operative technique for the treatment of perforated gastric/duodenal ulcers in patients who lack omentum, or when omentum cannot be used to cover perforated gastroduodenal ulcers.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Úlcera Péptica Perforada
/
Úlcera Gástrica
/
Procedimientos Quirúrgicos del Sistema Digestivo
/
Colgajos Quirúrgicos
/
Ligamentos
Límite:
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
BMJ Case Rep
Año:
2016
Tipo del documento:
Article
País de afiliación:
Reino Unido