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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