Abstract

INDIRAN, Venkatraman; DIXIT, Rishi  and  MADURAIMUTHU, Prabakaran. Unusual Cause of Epigastric Pain: Intra-Abdominal Focal Fat Infarction Involving Appendage of Falciform Ligament - Case Report and Review of Literature. GE Port J Gastroenterol [online]. 2018, vol.25, n.4, pp.175-178. ISSN 2341-4545.  https://doi.org/10.1159/000484528.

Torsion of the fatty appendage of the falciform ligament, part of the spectrum of conditions known as intra-abdominal focal fat infarction (IFFI), is very rare with less than 20 cases reported on imaging so far. Here we report a case of torsion of the lipomatous appendage of the falciform ligament in a middle-aged female, diagnosed on ultrasound and computed tomography (CT). CT showed classical “hyperattenuating rim” sign in the anterior perihepatic space adjacent to the falciform ligament. We re-emphasize the importance of “hyperattenuating rim” sign on CT in recognizing IFFI in locations other than the pericolic region.

Keywords : Torsion; Falciform ligament; Focal fat infarction; Hyperattenuating rim.

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