{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T08:03:32Z","timestamp":1767168212419,"version":"build-2238731810"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,4,3]]},"abstract":"<jats:p>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 18\u2005years 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 3\u2005cm 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.<\/jats:p>","DOI":"10.1136\/bcr-2015-213025","type":"journal-article","created":{"date-parts":[[2016,4,21]],"date-time":"2016-04-21T11:33:10Z","timestamp":1461238390000},"page":"bcr2015213025","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Utilisation of the falciform ligament pedicle flap as an alternative approach for the repair of a perforated gastric ulcer"],"prefix":"10.1136","volume":"2016","author":[{"given":"Mohamed","family":"Boshnaq","sequence":"first","affiliation":[{"name":"Department of General Surgery, Queen Elizabeth Queen Mother Hospital, Margate, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Thakrar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Queen Elizabeth Queen Mother Hospital, Margate, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iana","family":"Martini","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Queen Elizabeth Queen Mother Hospital, Margate, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer","family":"Doughan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Queen Elizabeth Queen Mother Hospital, Margate, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,4,21]]},"reference":[{"key":"2025082801031130000_2016.apr21_1.bcr2015213025.1","first-page":"235","article-title":"The treatment of perforated duodenal ulcers","volume":"64","author":"Graham","year":"1937","journal-title":"Surg Gynec Obstet"},{"key":"2025082801031130000_2016.apr21_1.bcr2015213025.2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1978.01370220095016"},{"key":"2025082801031130000_2016.apr21_1.bcr2015213025.3","first-page":"390","article-title":"Laparoscopic repair of perforated duodenal ulcers with a falciform ligament patch","volume":"78","author":"Munro","year":"1996","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082801031130000_2016.apr21_1.bcr2015213025.4","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195004000-00011"},{"key":"2025082801031130000_2016.apr21_1.bcr2015213025.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-003-0184-0"},{"key":"2025082801031130000_2016.apr21_1.bcr2015213025.6","first-page":"E203","article-title":"Control of the bleeding gallbladder bed using a pedicled falciform ligament flap based on the left inferior phrenic artery and middle segment hepatic artery","volume":"52","author":"Naraynsingh","year":"2009","journal-title":"Can J Surg"},{"key":"2025082801031130000_2016.apr21_1.bcr2015213025.7","doi-asserted-by":"publisher","DOI":"10.4321\/S1130-01082012000800009"},{"key":"2025082801031130000_2016.apr21_1.bcr2015213025.8","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-9-45"}],"updated-by":[{"DOI":"10.1136\/bcr-2015-213025corr1","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2016,9,23]],"date-time":"2016-09-23T00:00:00Z","timestamp":1474588800000}}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:03:19Z","timestamp":1756368199000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4,21]]},"references-count":8,"alternative-id":["10.1136\/bcr-2015-213025"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213025","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4,21]]}}}