J Korean Soc Radiol.  2015 May;72(5):368-371. 10.3348/jksr.2015.72.5.368.

Serial Ultrasound and Computed Tomography Findings of Torsion of Lipomatous Appendage of the Falciform Ligament in a Child Treated by Conservative Management

• Nam JG
• Choi SH
• Kang BS
• Kim JY
• Kwon WJ

• KMID: 1793896
• DOI: http://doi.org/10.3348/jksr.2015.72.5.368

Abstract

Torsion of the lipomatous appendage of the falciform ligament is extremely rare, and most patients have previously been treated surgically. We reported a case of torsion of the lipomatous appendage of the falciform ligament in a child, diagnosed by ultrasound (US) and computed tomography (CT) and treated conservatively. Real-time US and CT can aid an accurate diagnosis, and follow-up US can aid in making appropriate decisions for conservative treatment.

MeSH Terms

Abdomen
Child*
Diagnosis
Follow-Up Studies
Humans
Ligaments*
Ultrasonography*

Figure

• 

  Fig. 1 Longitudinal US image of the right upper quadrant showed a non-compressible, heterogeneously hyperechoic, mass-like lesion (arrows) at the anterior of the falciform ligament (arrowheads) extending along with ligamentum teres. US = ultrasound

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  Fig. 2 Coronal (A) and sagittal (B) reformatted contrast-enhanced CT scans showed a heterogeneous, low attenuated, mass-like lesion (arrows) at the anterior of the falciform ligament (arrowheads). Note the lesion has a close relationship with the falciform ligament.

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  Fig. 3 In a follow-up US after 3 days, the characteristics of the lesion (arrows) was changed to homogeneous hyperechogenicity. US = ultrasound

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  Fig. 4 In a follow-up US after 14 days, the previous lesion was almost completely resolved. The falciform ligament (arrowheads) appeared normal and scanty amount of fatty appendage (arrows) were noted. US = ultrasound

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