Torsion of the fatty appendage of the falciform ligament

Smeeing, Diederik P.J.; Bernsen, Marie Louise E.

doi:10.1016/j.radcr.2022.08.050

Cited by 1 publication

(3 citation statements)

References 7 publications

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“…The falciform ligament is a double fold of peritoneum separated by extraperitoneal fat that divides the left and right liver lobes [ 1 ]. The falciform ligament contains the ligamentum teres which is a cord-like remnant of the obliterated umbilical veins, paraumbilical veins, and variable amounts of extraperitoneal fat [ 3 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Falciform ligament appendagitis is a self-limiting disease that requires no surgical treatment and usually resolves with conservative treatment in 3-14 days [ 1 , 2 ]. Rare complications include adhesions, peritonitis, abscess formation, and calcified peritoneal loose bodies [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Intra-abdominal focal fat infarction occurs more commonly in the epiploic appendages or greater omentum and rarely involves the perigastric ligaments (gastrohepatic, gastrosplenic, and falciform). The falciform ligament is a peritoneal fold dividing the left and right hepatic lobes and torsion is extremely rare in this location [ 1 , 2 ]. The clinical presentation is non-specific with severe abdominal pain and raised inflammatory markers.…”

Section: Introductionmentioning

confidence: 99%

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A Case Report of Falciform Ligament Appendagitis

Manso,

Agostinho

2024

Cureus

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Falciform ligament appendagitis is an extremely rare form of intra-abdominal focal fat infarction. It usually presents with vigorous abdominal pain and mimics other more common acute abdominal pain-associated diseases. Better recognition of this entity avoids misdiagnoses and unnecessary surgical treatment. We present the case of a 73-year-old woman admitted to the emergency department for abdominal pain, nausea, and vomiting. She had a fever and a diffuse tender abdomen with upper right quadrant pain. Laboratory investigation showed leukocytosis and high C-reactive protein. CT revealed a heterogeneous increased density of fat adjacent to the falciform ligament. Falciform ligament appendagitis was diagnosed and antibiotic and anti-inflammatory treatment resulted in complete recovery. This case highlights the need to raise awareness and better recognize falciform ligament appendagitis to avoid unnecessary surgical interventions.

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Section: Discussionmentioning

confidence: 99%