Department of Ultrasonography, Irmandade da Santa Casa de Misericórdia de Santos, Santos (SP), Brazil.
Department of Internal Medicine, Hospital Frei Galvão, Santos (SP), Brazil.
Prague Med Rep. 2023;124(2):177-180. doi: 10.14712/23362936.2023.14.
The falciform ligament is a peritoneal double layer that anatomically divides the right and left hepatic lobes. Abnormality of the falciform ligament is rare - less than 20 cases of torsion of the falciform ligament have been reported to date in adults. The pathophysiology of these entities is similar to intra-abdominal focal fat infarction. The clinical of the patient with torsion of the falciform ligament is abdominal pain of sudden onset and focal location. Laboratory tests can lead to diagnostic confusion with cholecystitis. Ultrasonography is usually the initial evaluation test, but the gold standard diagnosis is computed tomography. We report the case of a 30-year-old female patient reporting sudden abdominal pain that radiates to the dorsal region associated with nausea and vomiting diagnosed with torsion of the falciform ligament with ultrasonography and confirmed with computed tomography. She was treated conservatively without the need for surgical treatment, being discharged after one week hospitalization.
镰状韧带是一种双层腹膜结构，解剖学上将肝脏的左右两叶分开。镰状韧带异常非常罕见——到目前为止，成人中只有不到 20 例镰状韧带扭转的报告。这些病变的病理生理学与腹内局灶性脂肪梗死相似。镰状韧带扭转患者的临床特征是突发的、局灶性腹痛。实验室检查可能会导致与胆囊炎的诊断混淆。超声检查通常是初始评估试验，但金标准诊断是计算机断层扫描。我们报告了一例 30 岁女性患者的病例，她主诉突发腹痛，放射至背部区域，伴有恶心和呕吐，经超声检查诊断为镰状韧带扭转，并经计算机断层扫描证实。她接受了保守治疗，无需手术治疗，住院一周后出院。
