Surgical and radiological importance of a rare cysto-duodeno-colic peritoneal fold

Abstract

It is quite common to see abnormal peritoneal folds in the abdominal cavity. Some of them might compress or strangulate the viscera and others might determine the direction of the flow of peritoneal fluid, pus or blood. Many unusual clinically important peritoneal folds such as Ladd's band, cysto-gastro-colic fold, omento-cystic fold, and cysto-colic fold have been reported earlier. Knowledge of these folds is important for radiologists, gastroenterologists, and surgeons. We report an unusual cysto-duodeno-colic fold observed during our dissection classes. The fold was seen to compress the duodenum and colon. The fold extended from the descending part of the duodenum and the transverse colon to the gallbladder. It enclosed the entire gallbladder. A case similar to this has not been reported yet. It is important for the gastroenterologists and laparoscopic surgeons to be aware of this fold to avoid misdiagnosis and iatrogenic injuries.

Anomalous peritoneal band connecting greater omentum to the ascending colon: a possible cause for dilation of ascending colon

“…Anomalous peritoneal folds are common in the upper abdomen, specifically near the gall bladder. Some of the reported peritoneal folds include cystogastric fold [ 1 ], Cystogastrocolic fold [ 2 ], omentocystic fold [ 3 ], and cysto-duodenocolic fold [ 4 ]. Nayak [ 5 ], has reported an anomalous peritoneal fold connecting the greater omentum with the liver, gallbladder, right kidney and lesser omentum.…”