Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a Child

Torsion of the fatty appendage of the falciform ligament is an extremely rare condition that leads to severe abdominal pain and raised inflammatory markers. It can be recognised on ultrasound or CT scan. The pathophysiology is the same as that involved in the more common torsion and/or infarction of...

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Main Authors: Caroline Maccallum, Sarah Eaton, Daniel Chubb, Stephen Franzi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2015/293491
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author Caroline Maccallum
Sarah Eaton
Daniel Chubb
Stephen Franzi
author_facet Caroline Maccallum
Sarah Eaton
Daniel Chubb
Stephen Franzi
author_sort Caroline Maccallum
collection DOAJ
description Torsion of the fatty appendage of the falciform ligament is an extremely rare condition that leads to severe abdominal pain and raised inflammatory markers. It can be recognised on ultrasound or CT scan. The pathophysiology is the same as that involved in the more common torsion and/or infarction of the greater omentum or epiploic appendages. The condition is best managed conservatively with anti-inflammatory analgesia, and the early recognition of this type of torsion may prevent unnecessary operative intervention to look for a source of abdominal pain. There have been five reported adult cases of a torted fatty appendage of the falciform ligament identified on ultrasound and CT scan, but no paediatric cases. We report a case of torsion of the fatty appendage of the falciform ligament in a ten-year-old boy and describe its imaging characteristics on CT scan.
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institution Kabale University
issn 2090-6862
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Radiology
spelling doaj-art-75ea3c783d4a4120ba6cd3614dfdb0412025-02-03T01:09:35ZengWileyCase Reports in Radiology2090-68622090-68702015-01-01201510.1155/2015/293491293491Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a ChildCaroline Maccallum0Sarah Eaton1Daniel Chubb2Stephen Franzi3Department of General Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, AustraliaDepartment of General Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, AustraliaDepartment of General Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, AustraliaDepartment of General Surgery, Northeast Health Wangaratta, Wangaratta, VIC 3677, AustraliaTorsion of the fatty appendage of the falciform ligament is an extremely rare condition that leads to severe abdominal pain and raised inflammatory markers. It can be recognised on ultrasound or CT scan. The pathophysiology is the same as that involved in the more common torsion and/or infarction of the greater omentum or epiploic appendages. The condition is best managed conservatively with anti-inflammatory analgesia, and the early recognition of this type of torsion may prevent unnecessary operative intervention to look for a source of abdominal pain. There have been five reported adult cases of a torted fatty appendage of the falciform ligament identified on ultrasound and CT scan, but no paediatric cases. We report a case of torsion of the fatty appendage of the falciform ligament in a ten-year-old boy and describe its imaging characteristics on CT scan.http://dx.doi.org/10.1155/2015/293491
spellingShingle Caroline Maccallum
Sarah Eaton
Daniel Chubb
Stephen Franzi
Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a Child
Case Reports in Radiology
title Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a Child
title_full Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a Child
title_fullStr Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a Child
title_full_unstemmed Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a Child
title_short Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a Child
title_sort torsion of fatty appendage of falciform ligament acute abdomen in a child
url http://dx.doi.org/10.1155/2015/293491
work_keys_str_mv AT carolinemaccallum torsionoffattyappendageoffalciformligamentacuteabdomeninachild
AT saraheaton torsionoffattyappendageoffalciformligamentacuteabdomeninachild
AT danielchubb torsionoffattyappendageoffalciformligamentacuteabdomeninachild
AT stephenfranzi torsionoffattyappendageoffalciformligamentacuteabdomeninachild