Coulier B, Cloots V, Ramboux A
Service d'Imagerie Médicale, Clinique St Luc, Bouge (Namur), Belgium.
Eur Radiol. 2001;11(2):213-5. doi: 10.1007/s003300000570.
Pathologic conditions of the falciform ligament leading to surgical intervention are extremely uncommon. We report a case of twisted lipomatous appendage of this ligament, demonstrated by US and CT. To our knowledge, there have been no previous reports of this entity. The extraperitoneal nature of the lesion was found by realtime sonography, but CT only was able to characterize its lipomatous nature and relationship with the falciform ligament. This lesion should be considered in the differential diagnosis of intra-abdominal focal fat infarction (IFFI), a recent vocable essentially regrouping infarction of omentum and epiploic appendages.
导致手术干预的镰状韧带病理状况极为罕见。我们报告一例该韧带扭转的脂肪瘤样附属物病例，经超声和CT证实。据我们所知，此前尚无关于此实体的报道。实时超声检查发现病变位于腹膜外，但只有CT能够明确其脂肪瘤性质以及与镰状韧带的关系。在鉴别诊断腹腔内局灶性脂肪梗死（IFFI，这是一个最近新造的词汇，主要指大网膜和网膜囊附属物梗死）时应考虑到这种病变。
