Case Report


Primary necrosis of the round ligament in adults: A new case and literature review

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1 Faculty of Medicine of Tunis, University Tunis El Manar, Department of General Surgery, Habib Bougatfa Hospital Bizerte, Tunisia

2 Faculty of medicine of Tunis, University Tunis El Manar, Department of General Surgery, Habib Bougatfa Hospital Bizerte, Tunisia

3 Faculty of Medicine of Tunis, University Tunis El Manar, Department of Gastroenterology, Habib Bougatfa Hospital Bizerte, Tunisia

4 Faculty of Medicine of Tunis, University Tunis El Manar, Department of Radiology, Habib Bougatfa Hospital Bizerte, Tunisia

Address correspondence to:

Wissem Triki

Habib Bougatfa Hospital 7000, Bizerte,

Tunisia

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Article ID: 100975Z01WT2018

doi: 10.5348/100975Z01WT2018CR

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How to cite this article

Triki W, Oussema B, Abbassi I, Belkhoua S, Hamida SB, Ganzoui I, Bouchoucha S. Primary necrosis of the round ligament in adults: A new case and literature review. Int J Case Rep Images 2018;9:100975Z01WT2018.

ABSTRACT


Introduction: The necrosis of the round ligament is an exceptional entity. The clinical presentation is nonspecific and can lead us to call to mind other diseases. The diagnosis is suspected by an abdominal ultrasound and CT scan showing lesions between the liver and the abdominal wall with fat density that extends to the umbilicus. It is confirmed by the surgical exploration of the abdomen performed by classical or laparoscopic approach.

Case Report: We are reporting the 16th case of this entity which presents a 56-year-old women who presented with right upper quadrant pain. The diagnosis of round ligament necrosis was suspected on abdominal ultrasound and the CT scan findings. It was then confirmed by laparoscopy which showed a gangrene of the round ligament.

Conclusion: Primary necrosis of the round ligament of the liver is an extremely rare cause of acute abdominal pain. The diagnosis is tricky in spite of the contribution of the abdominal CT scan. The treatment is surgical.

Keywords: Gangrene, Laparoscopy, Necrosis, Round ligament

SUPPORTING INFORMATION


Author Contributions

Wissem Triki - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Baraket Oussema - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Imed Abbassi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sarra Belkhoua - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sonia Ben Hamida - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Imen Ganzoui - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sami Bouchoucha - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this case report.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2018 Wissem Triki et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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