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Falciform ligament. A possible twist?

C E Webber, E Glanges, C A Crenshaw

    Archives of Surgery (Chicago, Ill. : 1960)
    |October 1, 1977
    PubMed
    Summary
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    A pregnant woman experienced severe abdominal pain due to falciform ligament infarction. Surgical excision of the affected ligament resolved the condition, highlighting a rare cause of acute abdomen in pregnancy.

    Area of Science:

    • Obstetrics and Gynecology
    • Surgical Pathology

    Background:

    • Acute abdominal pain is a common concern during pregnancy, necessitating accurate diagnosis.
    • Falciform ligament infarction is an uncommon cause of abdominal pathology, rarely reported in obstetric patients.

    Observation:

    • A 30-year-old pregnant woman presented with right upper quadrant abdominal pain and peritoneal signs.
    • Physical examination revealed localized tenderness and signs suggestive of peritoneal irritation.

    Findings:

    • Intraoperative findings confirmed an infarction of the falciform ligament.
    • The infarcted falciform ligament was surgically excised as the primary intervention.

    Implications:

    • This case underscores the importance of considering rare intra-abdominal pathologies in pregnant patients with acute symptoms.

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  • Prompt surgical intervention for falciform ligament infarction can lead to favorable outcomes in pregnancy.