Matito-Díaz M José, Blanco-Fernández Gerardo, Fernández-Pérez Juana, López-Guerra Diego
Cirugía General y Aparato Digestivo, Hospital Infanta Cristina (Badajoz), España.
Hospital Infanta Cristina. Badajoz.
Rev Esp Enferm Dig. 2015 Oct;107(10):644-6. doi: 10.17235/reed.2015.3725/2014.
Tumoral conditions in the round ligament of the liver are very uncommon and exhibit nonspecific manifestations, hence a high level of suspicion is necessary for their diagnosis. We report the case of a 47-year-old female patient who presented with abdominal pain for several months; imaging studies showed a lesion of indeterminate nature likely connected with the falciform ligament, and only intraoperative findings acknowledged the presence of an apparently benign tumor in the round ligament of the liver, which biopsy confirmed. Following the excision of the round ligament the patient had a favorable course. As this is a pathologically benign lesion we deem its surgical management both advisable and sufficient. However, because of its small prevalence and the scarcity of literature involving this condition, further studies would be needed to provide information on natural history, treatment, and long-term prognosis.
肝圆韧带的肿瘤性病变非常罕见，且表现为非特异性症状，因此诊断时需要高度怀疑。我们报告一例47岁女性患者，她数月来一直腹痛；影像学检查显示一个性质不明的病变，可能与镰状韧带有关，只有术中发现证实肝圆韧带存在一个明显的良性肿瘤，活检也予以证实。切除肝圆韧带后，患者恢复良好。由于这是一个病理上良性的病变，我们认为手术治疗既可取又充分。然而，由于其发病率低且涉及该病症的文献稀缺，需要进一步研究以提供关于其自然史、治疗和长期预后的信息。
