A Symptomatic Cyst of the Falciform Ligament of the Liver: A Case Report and Review of the Literature (original) (raw)
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A symptomatic cyst of the ligamentum teres of the liver: A case report
World Journal of Gastroenterology, 2008
Cysts of the liver ligaments are extremely rare and cysts of the ligamentum teres of the liver have been sporadically reported in the literature during the last century. The present report describes a case of a symptomatic patient with a cyst of the ligamentum teres of the liver. The patient presented with right upper quadrant pain and indigestion during the last 2 years. Ultrasound and computed tomography scans revealed a water-density mass attached to the anterior abdominal wall, but definite diagnosis could not be reached. The cyst was completely excised during laparotomy. Cysts of the ligamentum teres of the liver, although infrequent, may produce clinical symptoms and require excision. Ultrasound and computed tomography scan preoperatively cannot rule out malignancy, thus exploratory laparotomy and total resection of these lesions are necessary.
Laparoscopic Procedure for Rare Liver’s Round Ligament Cyst: A Case Report
Indian Journal of Case Reports, 2020
Liver's ligament cysts, especially uncommon and the liver's round ligament cysts, have been sporadically presented in some case reports during the past decade. All reported cases were treated by laparotomy. This report discusses the case of asymptomatic liver's round ligament cyst. The patient was hospitalized due to progressive epigastric pain for 1 week. Abdominal ultrasound and computed tomography scans showed a fluid density bulk in the pre-peritoneal space, suggestive of a cyst in the liver's ligament. A laparoscopy was indicated to excise this cyst and the specimens were sent to a pathologist. The patient recovered uneventfully and discharged after 1 day of operation. In conclusion, exploratory laparoscopy and total resection of these lesions are necessary to exclude malignancy. Furthermore, laparoscopic round ligament cyst removal is applicable and it helps the patient with enhanced recovery.
2022
Introduction: Falciform ligament (FL) abscess is uncommon in adults and can occur in the context of acute cholangitis, acute pancreatitis, torsion of the FL itself or spontaneously. Abdominal imaging often helps making a correct diagnosis. Case Presentation: We report a case of an adult male patient who developed appendagitis of the FL in the context of acute pancreatitis secondary to hypercholesterolaemia. Abdominal computed tomography (CT) scan con rmed the initial diagnosis but condition evolved towards the formation of FL abscess. Clinical and radiological follow-up raised the suspicion of extrahepatic bile duct tumour; given the diagnostic uncertainty, the patient underwent diagnostic laparoscopy. That allowed for correct diagnosis and treatment. A review of recent literature is also reported. Conclusions: FL abscess is uncommon in adults and radiological ndings can be misinterpreted as other clinical conditions; a high index of suspicion is required to formulate a correct diagnosis with the aid of diagnostic laparoscopy.
SN Comprehensive Clinical Medicine
Introduction: Falciform ligament (FL) abscess is uncommon in adults and can occur in the context of acute cholangitis, acute pancreatitis, torsion of the FL itself or spontaneously. Abdominal imaging often helps making a correct diagnosis. Case Presentation: We report a case of an adult male patient who developed appendagitis of the FL in the context of acute pancreatitis secondary to hypercholesterolaemia. Abdominal computed tomography (CT) scan con rmed the initial diagnosis but condition evolved towards the formation of FL abscess. Clinical and radiological follow-up raised the suspicion of extrahepatic bile duct tumour; given the diagnostic uncertainty, the patient underwent diagnostic laparoscopy. That allowed for correct diagnosis and treatment. A review of recent literature is also reported. Conclusions: FL abscess is uncommon in adults and radiological ndings can be misinterpreted as other clinical conditions; a high index of suspicion is required to formulate a correct diagnosis with the aid of diagnostic laparoscopy.
Hematoma of the falciform ligament: a rare cause of acute abdomen
The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2011
Hematoma or abscess of the liver ligaments is extremely rare, and hematoma of the falciform ligament has been sporadically reported. We report the case of a 70-year-old female who presented with a three-day history of right upper quadrant abdominal pain, fever and nausea. With a preoperative diagnosis of probable perforated acalculous cholecystitis, the patient underwent emergency surgery. Hematoma of the falciform ligament was found. Wide excision of the falciform ligament including the hematoma with abscess was performed. Although pathology of the falciform ligament is rare, it should be included in the differential diagnosis of acute abdomen, especially in the case of antiaggregant drug usage.
Torsion of the Falciform Ligament Diagnosed by Imaging Tests – Case Report of an Unusual Disease
Prague medical report, 2023
The falciform ligament is a peritoneal double layer that anatomically divides the right and left hepatic lobes. Abnormality of the falciform ligament is rare-less than 20 cases of torsion of the falciform ligament have been reported to date in adults. The pathophysiology of these entities is similar to intra-abdominal focal fat infarction. The clinical of the patient with torsion of the falciform ligament is abdominal pain of sudden onset and focal location. Laboratory tests can lead to diagnostic confusion with cholecystitis. Ultrasonography is usually the initial evaluation test, but the gold standard diagnosis is computed tomography. We report the case of a 30-year-old female patient reporting sudden abdominal pain that radiates to the dorsal region associated with nausea and vomiting diagnosed with torsion of the falciform ligament with ultrasonography and confirmed with computed tomography. She was treated conservatively without the need for surgical treatment, being discharged after one week hospitalization.
Internal herniation through the falciform ligament of the liver: a case report
Acta Chirurgica Belgica, 2018
Background: An internal abdominal hernia is defined as the protrusion of a viscus through a mesenteric or peritoneal aperture within the peritoneal cavity. A less common type of internal herniation is a small bowel herniation through a defect in the falciform ligament of the liver. This defect can be congenital or iatrogenic after penetration of the falciform ligament with a trocar during laparoscopic surgery. Methods: We present a case report illustrating an internal herniation through an iatrogenic defect in the falciform ligament of the liver. Results: A 78-year-old man comes to the emergency department with severe abdominal pain for several hours. Laparoscopic exploration shows a small bowel herniation through an iatrogenic defect of the falciform ligament after laparoscopic cholecystectomy. Reduction of the internal herniation is performed. Due to subsequently small bowel necrosis, a small bowel resection with primary anastomosis has to be performed too. Conclusion: Small bowel herniation through an iatrogenic defect in the falciform ligament is very rare. However, it can lead to severe complications such as small bowel necrosis. To prevent internal herniation, we strongly suggest immediate repair or division of the falciform ligament when an iatrogenic defect is created during laparoscopic procedures.
Falciform ligament abscess secondary to a ruptured liver abscess in a child: a case report
Pan African Medical Journal, 2020
Abscess of the liver ligaments is extremely rare, and abscess of the falciform ligament has been sporadically reported. We report the case of a 3 years old male who presented with a three days history of right upper quadrant abdominal pain, fever and nausea. The ultrasound and computed tomography (CT) scan showed an abdominal wall abscess located anterior to the liver. The patient underwent surgery. Abscess of the fal ciform ligament secondary to a ruptured liver abscess was found. Excision of the falciform ligament including the abscess was performed. Although pathology of the falciform ligament is rare, it should be included in the differential diagnosis of acute abdomen.
Fatty necrosis of falciform ligament due to torsion mimics falciform ligament cyst on MRI
The European Research Journal
The falciform ligament which is a broad and thin peritoneal ligament, divides the left and right subphrenic compartments. Some pathologies of this ligament can be a rare cause of acute abdomen. Mostly its pathologies present a challenge for diagnose. In a case who was admitted with acute abdomen, we determined a fatty necrosis of the falciform ligament during surgery. This rare primary pathology of the falciform ligament mimics falciform ligament cyst on MRI, which is another rare pathology.
Congenital Defect of the Liver Falciform Ligament
Anatomical Sciences Journal, 2019
Congenital variations and anomalies in the human body are clinically important and surgeons must be aware of those. Various human congenital malformation types have been reported. The liver is the largest organ of the digestive system. Numerous studies surveyed malposition in the liver and its attachments, because variations in the hypochondriac region and liver attachments may cause acute abdomen symptoms and medical emergency conditions like bowel obstruction. In this case report, we described an abnormal hepatic falciform ligament that connected the liver to the anterior abdominal wall in a male cadaver; this connection is important in the fundamental liver mobilization. The routine dissection of the anterior abdominal wall of a 56-year-old male formalin-fixed cadaver donated to the North Khorasan University of Iran suggested that a part of the falciform ligament was not formed. Inspecting the diaphragmatic and visceral surfaces of the liver revealed no hypertrophy or abnormal findings in the liver lobes. Additionally, there were no signs of surgical incision to the cadaver’s abdominal wall. The findings of our report indicated that liver attachment defect was a congenital abnormality.