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Falciform ligament abscess management.

Elisa Tran^1,2, Rachel Colbran³, Harsheet Sethi⁴

¹General Surgery, RBWH, Herston, Queensland, Australia elisatran@outlook.com.

BMJ Case Reports

|October 7, 2024

Summary

This summary is machine-generated.

Falciform ligament abscess (FLA) is a rare complication of local inflammation. This case highlights FLA following cholangitis and laparoscopic cholecystectomy, managed successfully with laparoscopic drainage.

Keywords:

Gastrointestinal surgery General surgery Surgery

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Area of Science:

Hepatobiliary surgery
Abdominal imaging
Infectious disease

Background:

Falciform ligament abscess (FLA) is an uncommon intra-abdominal infection.
Local inflammation is the primary cause of FLA.
Risk factors include recent biliary tract procedures and wound infections.

Observation:

A patient presented with symptoms suggestive of FLA.
The patient had a recent history of cholangitis and laparoscopic cholecystectomy.
A superficial umbilical wound infection was also noted.

Findings:

Clinical examination and computed tomography (CT) imaging confirmed the diagnosis of FLA.
The abscess was located within the falciform ligament.

Implications:

This case underscores the importance of considering FLA in patients with relevant risk factors.
Prompt diagnosis via imaging is crucial for effective management.
Laparoscopic drainage offers a minimally invasive treatment option for FLA.