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Case Reports
. 2022 Dec 7;32(1):83-85.
doi: 10.4103/jmu.jmu_83_22. eCollection 2024 Jan-Mar.

Isolated Inflammatory Necrosis of the Falciform Ligament: A Case Report with Review of Literature

Garima Sharma  1 , Swarnava Tarafdar  1 , Abhishek Kumar Yadav  1 , Pankaj Sah  1
Affiliations
Case Reports

Isolated Inflammatory Necrosis of the Falciform Ligament: A Case Report with Review of Literature

Garima Sharma et al. J Med Ultrasound. .

Abstract

Inflammatory necrosis of the falciform ligament is an extremely rare cause of acute right upper quadrant pain. Due to overlapping symptoms with pathologies affecting the gall bladder and liver, this poses a diagnostic challenge with limited existing literature. Here, we report a case of a 62-year-old female patient presenting in the accident and emergency department with right upper quadrant pain. The patient underwent ultrasonography and revealed thickened and echogenic falciform ligament. Further, a computed tomography revealed swollen falciform ligament with associated fat stranding. The patient was kept under conservative management and improved over 2 weeks.

Keywords: Falciform ligament; ligamentum teres; round ligament.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Transverse ultrasound images show thickened and echogenic falciform ligament (open white arrow in a). Doppler study shows an absence of flow within it (orange arrow in b)
Figure 2
Figure 2
Contrast-enhanced axial (a) and sagittal (b) CT images show bulky and hypodense falciform ligament with associated fat stranding (open white arrow in a and open arrowhead in b). The left portal vein is normally opacified. CT: Computed tomography
Figure 3
Figure 3
Transverse ultrasound image on follow-up after 2 weeks shows reduced echogenicity of the falciform ligament (orange arrow) with no flow on Doppler study
See this image and copyright information in PMC

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