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Falciform ligament abscess: report of a case
Valdinaldo Aragão de Melo1, Gustavo Barreto de Melo, Renata Lemos Silva
1Department of Medicine, Federal University of Sergipe, Brazil.
Revista Do Hospital Das Clinicas
|May 20, 2003
Summary
Falciform ligament abscess is a rare condition. Prompt diagnosis and drainage are key to managing this abdominal abscess, though recurrence is possible.
Area of Science:
- Gastroenterology
- Abdominal Surgery
Background:
- Falciform ligament abscess is an uncommon clinical presentation.
- Early recognition is crucial for effective management.
Observation:
- A 65-year-old male presented with right upper quadrant pain, postprandial fullness, and fever.
- Computed tomography revealed a cylindrical abdominal mass, initially suspected to be a hepatic abscess.
- Laparoscopic surgery identified and drained an abscess within the falciform ligament.
Findings:
- The patient experienced a recurrence two months post-drainage, linked to acute calculous cholecystitis.
- Successful treatment involved repeat abscess drainage and cholecystectomy.
Implications:
- Clinical suspicion for falciform ligament abscess should be raised with symptoms like right upper quadrant pain, epigastric tenderness, fever, leukocytosis, and an anterior abdominal mass.
- Abscess drainage is the primary treatment modality.