{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T19:56:18Z","timestamp":1772567778107,"version":"3.50.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Peptic ulcer disease (PUD) affects ~4 million people globally. Peptic ulcer perforation (PUP) is a serious complication of PUD associated with high mortality and morbidity. Hence, a high index of clinical suspicion is crucial in diagnosing such cases. Here, we present a case of a 19-year-old male who presented with 4\u00a0days of severe abdominal pain, fever, and vomiting. On examination, signs of acute abdomen were evident, and an erect chest X-ray confirmed free air under the diaphragm. The patient underwent an emergency midline laparotomy, during which 1000\u00a0ml of purulent fluid was evacuated. A perforation measuring 8\u2009\u00d7\u20098\u00a0mm2 was repaired using the falciform ligament due to the unavailability of adequate healthy omentum. His postoperative recovery was uneventful. This case report underscores the importance of considering the falciform ligament as a viable and effective alternative for the closure of PUP when the omentum is unavailable.<\/jats:p>","DOI":"10.1093\/jscr\/rjae502","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T22:14:24Z","timestamp":1723673664000},"source":"Crossref","is-referenced-by-count":1,"title":["Pedicled falciform ligament flap use as an alternative surgical technique in peptic ulcer perforation repair: a case report and review of literature"],"prefix":"10.1093","volume":"2024","author":[{"given":"Pratiksha","family":"Paudel","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, All Nepal Hospital , Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srikant","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bir Hospital, National Academy of Medical Sciences , Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4650-889X","authenticated-orcid":false,"given":"Bidur","family":"Khatiwada","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Nepalese Army Institute of Health Sciences , Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prahasan","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bir Hospital, National Academy of Medical Sciences , Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sijan","family":"Karki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bir Hospital, National Academy of Medical Sciences , Kathmandu 44600, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"key":"2024081422082967200_ref1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4240\/wjgs.v9.i1.1","article-title":"Perforated peptic ulcer - an update","volume":"9","author":"Chung","year":"2017","journal-title":"World J Gastrointest Surg"},{"key":"2024081422082967200_ref2","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/1749-7922-9-45","article-title":"Diagnosis and treatment of perforated or bleeding peptic ulcers: 2013 WSES position paper","volume":"9","author":"Di Saverio","year":"2014","journal-title":"World J Emerg Surg"},{"key":"2024081422082967200_ref3","first-page":"20","article-title":"Risk factors influencing morbidity and mortality in perforated peptic ulcer disease","volume":"31","author":"Ta\u015f","year":"2014","journal-title":"Ulus Cerrahi Derg"},{"key":"2024081422082967200_ref4","doi-asserted-by":"crossref","first-page":"1937","DOI":"10.1002\/ccr3.3030","article-title":"Novel approach for peptic ulcer perforation surgery","volume":"8","author":"Ahmadinejad","year":"2020","journal-title":"Clin Case Rep"},{"key":"2024081422082967200_ref5","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1159\/000331517","article-title":"Complications of peptic ulcer disease","volume":"29","author":"Milosavljevic","year":"2011","journal-title":"Dig Dis"},{"key":"2024081422082967200_ref6","first-page":"102477","article-title":"Outcomes of surgical management of peptic ulcer perforation using the falciform ligament: a cross-sectional study at a single centre in Vietnam","volume":"67","author":"Son","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"2024081422082967200_ref7","first-page":"692","article-title":"A review on treatment of perforated peptic ulcer by minimally invasive techniques","volume":"17","author":"Coco","year":"2022","journal-title":"Maedica (Bucur)"},{"key":"2024081422082967200_ref8","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjaa243","article-title":"Falciform ligament use in perforated duodenal ulcer repair: a case report and literature review","volume":"2020","author":"Elgazar","year":"2020","journal-title":"J Surg Case Rep"},{"key":"2024081422082967200_ref9","article-title":"Utilisation of the falciform ligament pedicle flap as an alternative approach for the repair of a perforated gastric ulcer","volume":"2016","author":"Boshnaq","year":"2016","journal-title":"BMJ Case Rep"},{"key":"2024081422082967200_ref10","doi-asserted-by":"crossref","first-page":"26","DOI":"10.5230\/jgc.2012.12.1.26","article-title":"Analysis of risk factors for postoperative morbidity in perforated peptic ulcer","volume":"12","author":"Kim","year":"2012","journal-title":"J Gastric Cancer"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/8\/rjae502\/58820693\/rjae502.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/8\/rjae502\/58820693\/rjae502.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T22:14:31Z","timestamp":1723673671000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae502\/7733690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,1]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae502","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,8]]},"published":{"date-parts":[[2024,8,1]]},"article-number":"rjae502"}}