Falciform Ligament Abscess Causing Acute Abdomen: Unveiling the Enigma with Review of Literature

Introduction: Falciform ligament abscess (FLA) is a rare type of intra-abdominal abscess which has been sporadically reported. Diagnosis of FLA can be challenging without typical image findings of an abscess. This study publishes the varied clinical presentations, radiological findings, and manageme...

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Main Authors: Posam Manoj Kumar, Mandakini T. Kotaiah, Gudla Keerthi, Vishnuvardhan Reddy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:https://journals.lww.com/10.4103/jiaps.jiaps_135_24
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author Posam Manoj Kumar
Mandakini T. Kotaiah
Gudla Keerthi
Vishnuvardhan Reddy
author_facet Posam Manoj Kumar
Mandakini T. Kotaiah
Gudla Keerthi
Vishnuvardhan Reddy
author_sort Posam Manoj Kumar
collection DOAJ
description Introduction: Falciform ligament abscess (FLA) is a rare type of intra-abdominal abscess which has been sporadically reported. Diagnosis of FLA can be challenging without typical image findings of an abscess. This study publishes the varied clinical presentations, radiological findings, and management of FLA. Materials and Methods: All patients who were diagnosed and operated for FLA between May 2022 and May 2024 are included in the study. Relevant investigations were done preoperatively. Results: A total of six patients were operated for FLA. The mean age of presentation was 30 days. There were no major perioperative complications in five patients. One patient had pyopericardium which required pericardiocentesis and catheter drainage preoperatively. Conclusion: FLA should be considered in children, especially in infants with vague abdominal symptoms and failure to respond to conservative management. Due to its obscure location, it often causes delay in diagnosis and inadequate treatment. Hence, early consideration of this pathology is crucial for timely diagnosis, proper surgical treatment, and decreased morbidity and mortality.
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series Journal of Indian Association of Pediatric Surgeons
spelling doaj-art-d4269c0635cc4a46bd5ab84d47000bcd2025-08-20T02:13:31ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912025-01-01301414510.4103/jiaps.jiaps_135_24Falciform Ligament Abscess Causing Acute Abdomen: Unveiling the Enigma with Review of LiteraturePosam Manoj KumarMandakini T. KotaiahGudla KeerthiVishnuvardhan ReddyIntroduction: Falciform ligament abscess (FLA) is a rare type of intra-abdominal abscess which has been sporadically reported. Diagnosis of FLA can be challenging without typical image findings of an abscess. This study publishes the varied clinical presentations, radiological findings, and management of FLA. Materials and Methods: All patients who were diagnosed and operated for FLA between May 2022 and May 2024 are included in the study. Relevant investigations were done preoperatively. Results: A total of six patients were operated for FLA. The mean age of presentation was 30 days. There were no major perioperative complications in five patients. One patient had pyopericardium which required pericardiocentesis and catheter drainage preoperatively. Conclusion: FLA should be considered in children, especially in infants with vague abdominal symptoms and failure to respond to conservative management. Due to its obscure location, it often causes delay in diagnosis and inadequate treatment. Hence, early consideration of this pathology is crucial for timely diagnosis, proper surgical treatment, and decreased morbidity and mortality.https://journals.lww.com/10.4103/jiaps.jiaps_135_24abdominal wall abscessacute abdomenfalciform ligament abscessomphalitisumbilical discharge
spellingShingle Posam Manoj Kumar
Mandakini T. Kotaiah
Gudla Keerthi
Vishnuvardhan Reddy
Falciform Ligament Abscess Causing Acute Abdomen: Unveiling the Enigma with Review of Literature
Journal of Indian Association of Pediatric Surgeons
abdominal wall abscess
acute abdomen
falciform ligament abscess
omphalitis
umbilical discharge
title Falciform Ligament Abscess Causing Acute Abdomen: Unveiling the Enigma with Review of Literature
title_full Falciform Ligament Abscess Causing Acute Abdomen: Unveiling the Enigma with Review of Literature
title_fullStr Falciform Ligament Abscess Causing Acute Abdomen: Unveiling the Enigma with Review of Literature
title_full_unstemmed Falciform Ligament Abscess Causing Acute Abdomen: Unveiling the Enigma with Review of Literature
title_short Falciform Ligament Abscess Causing Acute Abdomen: Unveiling the Enigma with Review of Literature
title_sort falciform ligament abscess causing acute abdomen unveiling the enigma with review of literature
topic abdominal wall abscess
acute abdomen
falciform ligament abscess
omphalitis
umbilical discharge
url https://journals.lww.com/10.4103/jiaps.jiaps_135_24
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AT gudlakeerthi falciformligamentabscesscausingacuteabdomenunveilingtheenigmawithreviewofliterature
AT vishnuvardhanreddy falciformligamentabscesscausingacuteabdomenunveilingtheenigmawithreviewofliterature