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Falciform ligament hernia with specific abdominal symptom
Kenta Baba1,2, Kenichiro Uemura3, Tatsuaki Sumiyoshi1
1Department of Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
Clinical Journal of Gastroenterology
|January 15, 2021
Summary
A rare falciform ligament hernia was diagnosed in an adolescent using specific positional pain and CT imaging. Laparoscopic surgery successfully treated the internal hernia without complications.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Falciform ligament hernia is an exceedingly rare internal hernia, posing significant diagnostic challenges preoperatively.
- Accurate diagnosis is crucial for timely surgical intervention and preventing complications.
Observation:
- A 15-year-old male presented with positional epigastric pain, worsening when supine and improving when knee-chest positioned.
- Contrast-enhanced computed tomography revealed a cord-like round ligament with small intestine mesentery anterior to it.
Findings:
- The patient was diagnosed with a falciform ligament hernia based on clinical and imaging findings.
- Emergency laparoscopic surgery confirmed the hernia, repositioned the small intestine, and involved falciform ligament division to prevent recurrence.
- No bowel ischemia or resection was necessary, indicating a favorable surgical outcome.
Implications:
- This case highlights the importance of recognizing specific positional abdominal pain and characteristic CT findings for diagnosing falciform ligament hernias.
- Laparoscopic surgery is a viable and effective treatment option for falciform ligament hernias.
- Early diagnosis and surgical management can prevent serious complications associated with internal hernias.
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