World Journal of Laparoscopic Surgery

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VOLUME 11 , ISSUE 2 ( May-August, 2018 ) > List of Articles


A Rare Case of Falciform Ligament Abscess with Unknown Etiology

Vimal K Jain, Ashishkumar G Hadiyal, Shalit A Jolly, Vivek Maurya

Keywords : Cholecystitis, Diagnostic laparoscopy, Falciform ligament abscess

Citation Information : Jain VK, Hadiyal AG, Jolly SA, Maurya V. A Rare Case of Falciform Ligament Abscess with Unknown Etiology. World J Lap Surg 2018; 11 (2):103-105.

DOI: 10.5005/jp-journals-10033-1343

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2018; The Author(s).


The incidence of a falciform ligament is very rare. Because of the rarity of the condition and sparsity of available literature, it's very difficult to diagnose this condition preoperatively. In this case, a 65-year-old lady had presented with pain in epigastrium and vomitings for 3 days. All blood investigations were normal except serum Alkaline phosphatase (ALP) and serum gamma-glutamyl transferase (GGT) which were 141 IU/L and 275 U/L respectively. USG revealed only chronic cholecystitis. On diagnostic laparoscopy, falciform ligament abscess was detected which was adequately drained. The patient responded well with the drainage without recurrence till date. Laparoscopic cholecystectomy was also done in the same sitting.

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  1. Brock JS, Pachter HL, Schreiber J, Hofstetter SR. Surgical diseases of the falciform ligament. American Journal of Gastroenterology. 1992 Jun 1;87(6):757-758.
  2. Melo VA, Melo GB, Silva RL, Aragão JF, Rosa JE. Falciform ligament abscess: report of a case. Revista do Hospital das Clínicas. 2003;58(1):37-38.
  3. Sones Jr PJ, Thomas BM, Masand PP. Falciform ligament abscess: appearance on computed tomography and sonography. American Journal of Roentgenology. 1981 Jul 1;137(1):161-162.
  4. Warren LR, Chandrasegaram MD, Madigan DJ, Dolan PM, Neo EL, Worthley CS. Falciform ligament abscess from left sided portal pyaemia following malignant obstructive cholangitis. World journal of surgical oncology. 2012 Dec;10(1):278.
  5. Moon SB, Lee HW, Park KW, Jung SE. Falciform ligament abscess after omphalitis: report of a case. Journal of Korean medical science. 2010 Jul 1;25(7):1090-1020.
  6. Suk-Bae Moon et al. Falciform ligament abscess after omphalitis: report of a case. J Korean Med Sci 2010 Jul 16;25(7):1090-1092. Epub 2010 Jun 16.
  7. Atif QA, Khaliq T. Postpancreatitis abscess of falciform ligament: an unusual presentation. J Coll Physicians Surg Pak. 2015 Nov 1;25:837-838.
  8. Laucks SS, Ballantine TV, Boal DK. Abscess of the falciform ligament in a child with a ventriculoperitoneal shunt. Journal of pediatric surgery. 1986 Nov 1;21(11):979-980.
  9. Ozkececý ZT, Ozsoy M, Celep B, Bal A, Polat C. A rare cause of acute abdomen: an isolated falciform ligament necrosis. Case reports in emergency medicine. 2014.
  10. Lipinski JK, Vega JM, Cywes S, Cremin BJ. Falciform ligament abscess in the infant. Journal of pediatric surgery. 1985 Oct 1;20(5):556-558.
  11. Losanoff JE, Kjossev KT. Isolated gangrene of the round and falciform liver ligaments: a rare cause of peritonitis: case report and review of the world literature. The American Surgeon. 2002 Sep 1;68(9):751.
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