Miura Daisuke, Shindo Michiko, Fukuda Yoshihisa
Department of Clinical Laboratory, Fukuoka Tokushukai Medical Center, 4-5 Sugu Kita, Kasuga-shi, Fukuoka-ken, 816-0864, Japan.
Department of Laboratory Science, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami Kogushi, Ube-shi, Yamaguchi-ken, 755-8508, Japan.
Radiol Case Rep. 2022 Sep 20;17(11):4425-4430. doi: 10.1016/j.radcr.2022.08.090. eCollection 2022 Nov.
Falciform ligament appendagitis is an extremely rare disorder, which is characterized by hematogenous or nonhematogenous inflammatory changes in the fat appendage that is contiguous with the falciform ligament. The imaging and clinical features of this condition are similar to those of epiploic appendagitis, especially when caused by torsion of the fatty appendage (ie, falciform ligament appendage torsion). We report 2 cases of falciform ligament appendagitis with localized epigastric pain. The ultrasound imaging features of the 2 cases presented here were an oval hyperechoic mass contiguous with the falciform ligament and increased echogenicity of the surrounding inflammatory fat. Both patients were managed conservatively with symptomatic treatment alone. Understanding the imaging features of this falciform ligament appendagitis is important, because ultrasound is often the first choice for noninvasive imaging of acute abdomen. As there is limited detailed literature on falciform ligament appendagitis comparing high-frequency linear probes with CT and MRI, we consider this case report to add valuable information on this poorly reported condition.
镰状韧带附件炎是一种极为罕见的疾病，其特征是与镰状韧带相邻的脂肪附件发生血源性或非血源性炎症改变。这种疾病的影像学和临床特征与网膜附件炎相似，尤其是由脂肪附件扭转（即镰状韧带附件扭转）引起时。我们报告2例以中上腹局部疼痛为表现的镰状韧带附件炎病例。此处呈现的2例病例的超声成像特征为与镰状韧带相邻的椭圆形高回声肿块以及周围炎性脂肪的回声增强。两名患者均仅接受了对症保守治疗。了解这种镰状韧带附件炎的影像学特征很重要，因为超声通常是急腹症无创成像的首选。由于关于镰状韧带附件炎将高频线性探头与CT和MRI进行比较的详细文献有限，我们认为本病例报告为这种报道较少的疾病增添了有价值的信息。
