{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:00:51Z","timestamp":1791396051076,"version":"4.3.3"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Duodenal perforation typically presents as an acute abdomen. In contrast, presentation as an intra-abdominal abscess is rare and may delay diagnosis. We report a 25-year-old male who presented with 8\u00a0days of upper abdominal pain and 4\u00a0days of progressive abdominal distension. Despite marked abdominal distension, he had no signs of peritonitis. Laboratory investigations showed marked leukocytosis. Chest radiography showed no classical subdiaphragmatic free air, whereas computed tomography confirmed pneumoperitoneum. Emergency exploratory laparotomy revealed an intra-abdominal abscess with dense omental adhesions encasing the bowel. A 1\u2009\u00d7\u20091\u00a0cm perforation on the anterior wall of the first part of the duodenum was identified. As the omentum was unsuitable for conventional patch repair, the perforation was successfully repaired using a pedicled falciform ligament flap. This case highlights an uncommon presentation of duodenal perforation and demonstrates the falciform ligament flap as an effective alternative when omental patch repair is not feasible.<\/jats:p>","DOI":"10.1093\/jscr\/rjag893","type":"journal-article","created":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T11:24:08Z","timestamp":1789903448000},"source":"Crossref","is-referenced-by-count":0,"title":["Duodenal perforation masquerading as an intra-abdominal abscess: successful management with pedicled falciformopexy"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9606-0317","authenticated-orcid":false,"given":"Rahul","family":"Jha","sequence":"first","affiliation":[{"name":"Department of General Surgery, National Academy of Medical Sciences , Bagmati province, Kathmandu 44600 ,","place":["Nepal"]},{"name":"Department of General Surgery, Karnali Academy of Health Sciences , Karnali province, Jumla 21200 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0229-2737","authenticated-orcid":false,"given":"Mukesh","family":"Jaiswar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Karnali Academy of Health Sciences , Karnali province, Jumla 21200 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Papu K","family":"Sah","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Karnali Academy of Health Sciences , Karnali province, Jumla 21200 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0371-4821","authenticated-orcid":false,"given":"Srikant","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, National Academy of Medical Sciences , Bagmati province, Kathmandu 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bikash C","family":"Sah","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology and Hepatobiliary Surgery, National Academy of Medical Sciences , Bagmati Province, Kathmandu 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1477-8958","authenticated-orcid":false,"given":"Rishika","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Nepal Medical College Teaching Hospital , Bagmati Province, Kathmandu 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"2026100713340907700_ref1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s13017-019-0283-9","article-title":"Perforated and bleeding peptic ulcer: WSES guidelines","volume":"15","author":"Tarasconi","year":"2020","journal-title":"World J Emerg Surg"},{"key":"2026100713340907700_ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4240\/wjgs.v9.i1.1","article-title":"Perforated peptic ulcer - 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