Sari Serkan, Ersöz Feyzullah, Güneş Mehmet Emin, Paşaoğlu Esra, Arikan Soykan
İstanbul Research and Training Hospital, Department of General Surgery, İstanbul, Turkey.
Turk J Gastroenterol. 2011;22(2):213-5. doi: 10.4318/tjg.2011.0196.
Hematoma or abscess of the liver ligaments is extremely rare, and hematoma of the falciform ligament has been sporadically reported. We report the case of a 70-year-old female who presented with a three-day history of right upper quadrant abdominal pain, fever and nausea. With a preoperative diagnosis of probable perforated acalculous cholecystitis, the patient underwent emergency surgery. Hematoma of the falciform ligament was found. Wide excision of the falciform ligament including the hematoma with abscess was performed. Although pathology of the falciform ligament is rare, it should be included in the differential diagnosis of acute abdomen, especially in the case of antiaggregant drug usage.
肝韧带血肿或脓肿极为罕见，镰状韧带血肿仅有零星报道。我们报告一例70岁女性患者，其有右上腹腹痛、发热和恶心3天的病史。术前诊断可能为非结石性胆囊炎穿孔，患者接受了急诊手术。术中发现镰状韧带血肿。对镰状韧带进行了广泛切除，包括切除伴有脓肿的血肿。尽管镰状韧带病变罕见，但在急腹症的鉴别诊断中应予以考虑，尤其是在使用抗凝血药物的情况下。
