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
em 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
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Úlcera Péptica Perfurada
/
Úlcera Gástrica
/
Procedimentos Cirúrgicos do Sistema Digestório
/
Retalhos Cirúrgicos
/
Ligamentos
Limite:
Aged80
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article