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Case Report
Sign of the falciform ligament revealing a silent gastric perforation in the adult due to a nasogastric tube
1 MD, Resident in Radiology, Department of Radiology, Oncology National Institute, UHC Ibn Sina, Rabat, Morocco
2 MD, Specialist in Radiology, Department of Radiology, Oncology National Institute, UHC Ibn Sina, Rabat, Morocco
3 Professor, Chief of Department of Radiology, Department of Radiology, Oncology National Institute, UHC Ibn Sina, Rabat, Morocco
4 Professor, Radiology, Department of Radiology, Oncology National Institute, UHC Ibn Sina, Rabat, Morocco
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Wilson Bizimana
MD, Resident in Radiology, Department of Radiology, Oncology National Institute, UHC Ibn Sina, Rabat,
Morocco
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Article ID: 101146Z01WB2020
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How to cite this article
Bizimana W, El Mansouri FZ, Aubin Igombe SR, Jerguigue H, Latib R, Omor Y. Sign of the falciform ligament revealing a silent gastric perforation in the adult due to a nasogastric tube. Int J Case Rep Images 2020;11:101146Z01WB2020.ABSTRACT
Introduction: The nasogastric tube (NGT) is frequently used in oncology in patients with tumors of the oral cavity. Often mild in the adults, this technique can lead to a gastric perforation which is a rare emergency surgery and of poor prognosis.
Case Report: We report an interesting case of an old lady, tracheotomized for recurrent oral tumor, and got a NGT at his admission. After five days, computed tomography (CT) scan requested for extension assessment, discovered a gastric perforation by nasogastric intubation in the absence of clinical signs on physical examination. On CT scan, we have found evidence of gastric perforation, sign of the falciform ligament, ligamentum teres sign, and pneumoperitoneum. Finally, the patient has undergone a surgical repair.
Conclusion: Computed tomography scan allows rapid diagnosis of gastric perforation though it is silent by showing pneumoperitoneum. Clinicians should systematically detect the favoring factors before insertion of NGT and think of any patient with tracheostomy with NGT and developing or not an acute abdomen in the continuations of the intubation.
Keywords: Computed tomography scan, Falciform ligament sign, Gastric perforation, Nasogastric intubation
SUPPORTING INFORMATION
Author Contributions
Wilson Bizimana - Drafting the article, Final approval of the version to be published
El Mansouri Fatma Zahra - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Aubin Igombe R Suzanne - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hounayda Jerguigue - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rachida Latib - Revising it critically for important intellectual content, Final approval of the version to be published
Youssef Omor - Substantial contributions to conception and design, 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 article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Wilson Bizimana 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.
