Anat Cell Biol.  2017 Jun;50(2):159-161. 10.5115/acb.2017.50.2.159.

Surgical and radiological importance of a rare cysto-duodeno-colic peritoneal fold

• Nayak SB
• George BM
• Mishra S
• Shetty SD
• Sirasanagandla SR
• Padavinangadi A

• KMID: 2451243
• DOI: http://doi.org/10.5115/acb.2017.50.2.159

Abstract

It is quite common to see abnormal peritoneal folds in the abdominal cavity. Some of them might compress or strangulate the viscera and others might determine the direction of the flow of peritoneal fluid, pus or blood. Many unusual clinically important peritoneal folds such as Ladd's band, cysto-gastro-colic fold, omento-cystic fold, and cysto-colic fold have been reported earlier. Knowledge of these folds is important for radiologists, gastroenterologists, and surgeons. We report an unusual cysto-duodeno-colic fold observed during our dissection classes. The fold was seen to compress the duodenum and colon. The fold extended from the descending part of the duodenum and the transverse colon to the gallbladder. It enclosed the entire gallbladder. A case similar to this has not been reported yet. It is important for the gastroenterologists and laparoscopic surgeons to be aware of this fold to avoid misdiagnosis and iatrogenic injuries.

Keyword

Peritoneal cavity; Parietal peritoneum; Omentum; Abdomen

MeSH Terms

Abdomen
Abdominal Cavity
Ascitic Fluid
Colon
Colon, Transverse
Diagnostic Errors
Duodenum
Gallbladder
Omentum
Peritoneal Cavity
Peritoneum
Suppuration
Surgeons
Viscera

Figure

• 

  Fig. 1 Dissection of the upper abdomen showing the cysto-duodeno-colic fold. AC, ascending colon; CDCF, cysto-duodeno-colic fold; D, first part of the duodenum (note the dilation); GB, gallbladder enclosed in the fold; RCF, right colic flexure (note the dilation); SI, small intestine; TC, transverse colon.

• 

  Fig. 2 Closer view of the cysto-duodeno-colic fold. C, compressed (narrow) part of the transverse colon; CDCF, cysto-duodeno-colic fold; D, first part of the duodenum (note the dilation); GB, gallbladder enclosed in the fold; RCF, right colic flexure (note the dilation); SI, small intestine; TC, transverse colon.

• 

  Fig. 3 Side view of the cysto-duodeno-colic fold. CDCF, cysto-duodeno-colic fold; D, first part of the duodenum (note the dilation); GB, gallbladder enclosed in the fold; TC, transverse colon.

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