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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
PubMed
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.

Keywords:
Falciform ligament herniaKnee-chest positionLaparoscopy

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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.