A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute Pancreatitis

Falciform ligament (remnant of umbilical vein) is an anatomical structure that connects the liver to the anterior abdominal wall. This case reports a rare clinical presentation of falciform ligament thrombosis as a consequence of acute gallstone pancreatitis, in a patient with noncirrhotic liver. A...

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Main Authors: H. Q. C. Lim, X. W. J. Lee, N. Mathias
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2017/2879568
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author H. Q. C. Lim
X. W. J. Lee
N. Mathias
author_facet H. Q. C. Lim
X. W. J. Lee
N. Mathias
author_sort H. Q. C. Lim
collection DOAJ
description Falciform ligament (remnant of umbilical vein) is an anatomical structure that connects the liver to the anterior abdominal wall. This case reports a rare clinical presentation of falciform ligament thrombosis as a consequence of acute gallstone pancreatitis, in a patient with noncirrhotic liver. A 55-year-old female with a history of cholelithiasis was admitted with abdominal pain. Biochemistry profile showed hyperamylasemia and deranged liver function tests. Computerized Tomography (CT) revealed a 3 cm attenuated structure that can be traced up to the left portal vein, which represents an acute thrombosis of the falciform ligament. The patient was treated with Tinzaparin and subsequently anticoagulated. She subsequently had a laparoscopic cholecystectomy and made an uneventful recovery. We suspect that pancreatitis caused thrombophlebitis subsequently leading to recanalization and thrombosis of the umbilical vein. Falciform ligament thrombosis is a rare and poorly described complication following pancreatitis which clinicians and radiologists should be aware of.
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spelling doaj-art-68305edac93640bbbf2189f3f39ab8b12025-08-20T02:06:42ZengWileyCase Reports in Radiology2090-68622090-68702017-01-01201710.1155/2017/28795682879568A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute PancreatitisH. Q. C. Lim0X. W. J. Lee1N. Mathias2Hairmyres Hospital, Glasgow G75 8RG, UKHairmyres Hospital, Glasgow G75 8RG, UKHairmyres Hospital, Glasgow G75 8RG, UKFalciform ligament (remnant of umbilical vein) is an anatomical structure that connects the liver to the anterior abdominal wall. This case reports a rare clinical presentation of falciform ligament thrombosis as a consequence of acute gallstone pancreatitis, in a patient with noncirrhotic liver. A 55-year-old female with a history of cholelithiasis was admitted with abdominal pain. Biochemistry profile showed hyperamylasemia and deranged liver function tests. Computerized Tomography (CT) revealed a 3 cm attenuated structure that can be traced up to the left portal vein, which represents an acute thrombosis of the falciform ligament. The patient was treated with Tinzaparin and subsequently anticoagulated. She subsequently had a laparoscopic cholecystectomy and made an uneventful recovery. We suspect that pancreatitis caused thrombophlebitis subsequently leading to recanalization and thrombosis of the umbilical vein. Falciform ligament thrombosis is a rare and poorly described complication following pancreatitis which clinicians and radiologists should be aware of.http://dx.doi.org/10.1155/2017/2879568
spellingShingle H. Q. C. Lim
X. W. J. Lee
N. Mathias
A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute Pancreatitis
Case Reports in Radiology
title A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute Pancreatitis
title_full A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute Pancreatitis
title_fullStr A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute Pancreatitis
title_full_unstemmed A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute Pancreatitis
title_short A Rare Finding of Falciform Ligament Thrombosis as a Sequel of Acute Pancreatitis
title_sort rare finding of falciform ligament thrombosis as a sequel of acute pancreatitis
url http://dx.doi.org/10.1155/2017/2879568
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