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Case Reports in Radiology
Volume 2015, Article ID 293491, 3 pages
http://dx.doi.org/10.1155/2015/293491
Case Report

Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a Child

1Department of General Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, Australia
2Department of General Surgery, Northeast Health Wangaratta, Wangaratta, VIC 3677, Australia

Received 5 August 2015; Revised 6 November 2015; Accepted 9 November 2015

Academic Editor: Roberto Grassi

Copyright © 2015 Caroline Maccallum et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Torsion of the fatty appendage of the falciform ligament is an extremely rare condition that leads to severe abdominal pain and raised inflammatory markers. It can be recognised on ultrasound or CT scan. The pathophysiology is the same as that involved in the more common torsion and/or infarction of the greater omentum or epiploic appendages. The condition is best managed conservatively with anti-inflammatory analgesia, and the early recognition of this type of torsion may prevent unnecessary operative intervention to look for a source of abdominal pain. There have been five reported adult cases of a torted fatty appendage of the falciform ligament identified on ultrasound and CT scan, but no paediatric cases. We report a case of torsion of the fatty appendage of the falciform ligament in a ten-year-old boy and describe its imaging characteristics on CT scan.