E-ISSN 2534-9821
 

Case Report 


Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature

Deepak Rajput, GMCV Bharadwaj, Amit Gupta, Shashank Kumar, Ankit Rai, Navin Kumar.

Abstract
Cellan Jones omentopexy technique is the mainstay of emergency surgical repair of perforated gastric/duodenal ulcers. Falciform ligament pedicle repair is a feasible alternative technique for peptic ulcer perforation repair when omentopexy is not possible, such as previous abdominal surgeries, partial gastrectomy, colectomy, severely malnourished individuals and absence of omentum as developmental anomaly. Other methods like jejunal patch repair, partial gastrectomy, Roux-en-Y duodenojejunostomy, tube duodenostomy and pyloric exclusion have also been used but they are associated with significant post-operative morbidity and failure rates and involve great deal of technicality. Recurrent peptic ulcers are those ulcers that reappear after healing. We report a case of recurrent peptic ulcer perforation treated by utilising pedicled falciform ligament flap to repair the perforation, with no postoperative and one-month follow-up complications. An omental flap was not available in this case because of dense adhesions and inflammation at the site of previous omentopexy.

Key words: peptic ulcer perforation, falciform pedicle flap, falciformopexy, omentopexy


 
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How to Cite this Article
Pubmed Style

Rajput D, Bharadwaj G, Gupta A, Kumar S, Rai A, Kumar N, . Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature. doi:10.5455/IJMRCR.Pedicled-Falciform-Ligament-Flap-repair


Web Style

Rajput D, Bharadwaj G, Gupta A, Kumar S, Rai A, Kumar N, . Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature. http://www.mdpub.net/?mno=133005 [Access: March 09, 2021]. doi:10.5455/IJMRCR.Pedicled-Falciform-Ligament-Flap-repair


AMA (American Medical Association) Style

Rajput D, Bharadwaj G, Gupta A, Kumar S, Rai A, Kumar N, . Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature. doi:10.5455/IJMRCR.Pedicled-Falciform-Ligament-Flap-repair



Vancouver/ICMJE Style

Rajput D, Bharadwaj G, Gupta A, Kumar S, Rai A, Kumar N, . Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature. doi:10.5455/IJMRCR.Pedicled-Falciform-Ligament-Flap-repair



Harvard Style

Rajput, D., Bharadwaj, G., Gupta, A., Kumar, S., Rai, A., Kumar, N. & (2021) Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature. doi:10.5455/IJMRCR.Pedicled-Falciform-Ligament-Flap-repair



Turabian Style

Rajput, Deepak, GMCV Bharadwaj, Amit Gupta, Shashank Kumar, Ankit Rai, Navin Kumar, and . 2021. Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature. doi:10.5455/IJMRCR.Pedicled-Falciform-Ligament-Flap-repair



Chicago Style

Rajput, Deepak, GMCV Bharadwaj, Amit Gupta, Shashank Kumar, Ankit Rai, Navin Kumar, and . "Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature." doi:10.5455/IJMRCR.Pedicled-Falciform-Ligament-Flap-repair



MLA (The Modern Language Association) Style

Rajput, Deepak, GMCV Bharadwaj, Amit Gupta, Shashank Kumar, Ankit Rai, Navin Kumar, and . "Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature." doi:10.5455/IJMRCR.Pedicled-Falciform-Ligament-Flap-repair



APA (American Psychological Association) Style

Rajput, D., Bharadwaj, G., Gupta, A., Kumar, S., Rai, A., Kumar, N. & (2021) Pedicled Falciform Ligament Flap repair in a Recurrent peptic ulcer perforation: case report and review of literature. doi:10.5455/IJMRCR.Pedicled-Falciform-Ligament-Flap-repair