Falciform ligament hernia with specific abdominal symptom

Falciform ligament hernia is a very rare internal hernia and is difficult to diagnose before surgery. We report a case of falciform ligament hernia with a specific symptom and image findings, which led to an accurate diagnosis and subsequent laparoscopic surgery. A 15-year-old adolescent boy with no...

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Bibliographic Details
Published inClinical journal of gastroenterology Vol. 14; no. 2; pp. 566 - 569
Main Authors Baba, Kenta, Uemura, Kenichiro, Sumiyoshi, Tatsuaki, Kobayashi, Takeshi, Kondo, Yoshifumi, Tazuma, Sho, Okano, Keisuke, Muto, Takeshi, Tatsumoto, Naokuni, Takahashi, Shinya
Format Journal Article
LanguageEnglish
Published Singapore Springer Singapore 01.04.2021
Subjects
Abdominal Surgery
Adolescent
Case Report
Colorectal Surgery
Gastroenterology
Hepatology
Hernia
Hernia, Abdominal - diagnosis
Hernia, Abdominal - diagnostic imaging
Humans
Intestine, Small
Ligaments - diagnostic imaging
Ligaments - surgery
Liver
Male
Medicine
Medicine & Public Health
Mesentery
Surgical Oncology
Knee-chest position
Laparoscopy
Falciform ligament hernia
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Summary:Falciform ligament hernia is a very rare internal hernia and is difficult to diagnose before surgery. We report a case of falciform ligament hernia with a specific symptom and image findings, which led to an accurate diagnosis and subsequent laparoscopic surgery. A 15-year-old adolescent boy with no previous medical history showed epigastric pain and was referred to our hospital. The abdominal pain was strong in the supine position and was alleviated in the knee-chest position. Contrast-enhanced computed tomography showed that the round ligament was recognized as a cord-like structure, and the mesentery of the small intestine was located at the cranioventral side of the ligament. He was diagnosed as having falciform ligament hernia, and emergency laparoscopic surgery was performed. The small intestine passed through the falciform ligament; however, it showed no sign of ischemia, and bowel resection was not required. The malposed intestine was repositioned, and the falciform ligament was cut to prevent hernia recurrence. The specific abdominal symptom and computed tomography image finding were useful to make the correct diagnosis in this case.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:1865-7257
1865-7265
DOI:10.1007/s12328-020-01323-0