Manso Marta, Agostinho Lisa
Department of Radiology, Hospital Beatriz Ângelo, Lisbon, PRT.
Cureus. 2024 Jan 9;16(1):e51965. doi: 10.7759/cureus.51965. eCollection 2024 Jan.
Falciform ligament appendagitis is an extremely rare form of intra-abdominal focal fat infarction. It usually presents with vigorous abdominal pain and mimics other more common acute abdominal pain-associated diseases. Better recognition of this entity avoids misdiagnoses and unnecessary surgical treatment. We present the case of a 73-year-old woman admitted to the emergency department for abdominal pain, nausea, and vomiting. She had a fever and a diffuse tender abdomen with upper right quadrant pain. Laboratory investigation showed leukocytosis and high C-reactive protein. CT revealed a heterogeneous increased density of fat adjacent to the falciform ligament. Falciform ligament appendagitis was diagnosed and antibiotic and anti-inflammatory treatment resulted in complete recovery. This case highlights the need to raise awareness and better recognize falciform ligament appendagitis to avoid unnecessary surgical interventions.
镰状韧带附属物炎是一种极为罕见的腹腔内局灶性脂肪梗死形式。它通常表现为剧烈腹痛，可模仿其他更常见的与急性腹痛相关的疾病。更好地认识这一实体可避免误诊和不必要的手术治疗。我们报告一例73岁女性因腹痛、恶心和呕吐入住急诊科。她发热，全腹压痛，右上腹疼痛。实验室检查显示白细胞增多和高C反应蛋白。CT显示镰状韧带附近脂肪密度不均匀增加。诊断为镰状韧带附属物炎，抗生素和抗炎治疗后完全康复。该病例强调了提高认识并更好地识别镰状韧带附属物炎以避免不必要手术干预的必要性。
