Falciform ligament abscess: report of a case

• Autor(a) principal: Melo,Valdinaldo Aragão de
• Data de Publicação: 2003
• Outros Autores: Melo,Gustavo Barreto de, Silva,Renata Lemos, Aragão,João Fernandes Britto, Rosa,José Eraldo Marques
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista do Hospital das Clínicas
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812003000100008
• topic: Falciform ligament; Abscess; Gallbladder; Drainage; Calculous cholecystitis

Falciform ligament abscess is rare. We report a case of a 65-year-old man who presented with right upper quadrant abdominal pain, postprandial fullness, and fever. Computed tomography disclosed a cylindrical mass in the anterior abdomen that aroused suspicion of a hepatic abscess. At laparoscopic surgery, an abscess of the falciform ligament was found and drained. Two months later, the patient developed recurrence of the abscess secondary to acute calculous cholecystitis. Abscess drainage and cholecystectomy were performed. The presence of right uppper quadrant abdominal pain, epigastric tenderness, fever, leukocytosis, and a mass in the anterior abdomen should arouse suspicion of falciform ligament abscess. Its treatment consists of abscess drainage.