World Journal of Laparoscopic Surgery

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VOLUME 14 , ISSUE 2 ( May-August, 2021 ) > List of Articles


Avoiding the Falciform Ligament Sign during the Intraoperative Cholangiogram

Saksham Gupta, Simon Whitcher

Keywords : Cholangiography, Falciform ligament, Laparoscopic cholecystectomy

Citation Information : Gupta S, Whitcher S. Avoiding the Falciform Ligament Sign during the Intraoperative Cholangiogram. World J Lap Surg 2021; 14 (2):136-137.

DOI: 10.5005/jp-journals-10033-1461

License: CC BY-NC 4.0

Published Online: 19-08-2021

Copyright Statement:  Copyright © 2021; The Author(s).


We have observed that the falciform ligament can appear prominently as a vertical lucent artifact making cholangiography difficult during laparoscopic cholecystectomy. Our suspicion is that this is due to the pneumoperitoneum, and once the pneumoperitoneum is released, this artifact disappears. We have presented images displaying this phenomenon that we feel would be useful for general surgeons operating on the gallbladder.

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  2. Chou P-C, Su Y-J. Falciform ligament sign. N Engl J Med 2017;377:e28. DOI: 10.1056/NEJMicm1613914.
  3. Lin J-N. Falciform-ligament sign of pneumoperitoneum. N Engl J Med 2004;351:e16. DOI: 10.1056/ENEJMicm030659.
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