Case Report
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
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Wissem Triki
Habib Bougatfa Hospital 7000, Bizerte,
Tunisia
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Article ID: 100975Z01WT2018
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
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 SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
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