Infarcted ligamentum teres hepatis lipoma mimicking acute abdomen in a female patient: a case report and mini-review of the literature

Abstract Lipomas of the ligamentum teres hepatis are extremely uncommon. There have been only a few cases reported in the literature, including lipomas of the falciform ligament of the liver. Here we report a case of torsion and infarction of a lipoma of the ligamentum teres hepatis in a 43-year-old female patient, who presented with acute epigastric pain, nausea and vomiting. Diagnosis was based on computed tomography and magnetic resonance imaging. Patient underwent exploratory laparoscopy followed by laparoscopic excision of the infracted lipoma. Finally, we also provide a mini-review of the literature in order to highlight that although rare, this pathology should be included in the differential diagnosis of acute abdomen.

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Resection of the Falciform Ligament and Ligamentum Teres Hepatis in Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC)

Jurnalul de Chirurgie ◽

10.7438/1584-9341-10-2-5 ◽

2014 ◽

Vol 10 (02) ◽

Cited By ~ 2

Author(s):

Thejus Thayyil Jayakrishnan ◽

Avishkar Sharma

Keyword(s):

Intraperitoneal Chemotherapy ◽

Cytoreductive Surgery ◽

Hyperthermic Intraperitoneal Chemotherapy ◽

Ligamentum Teres ◽

Falciform Ligament ◽

Ligamentum Teres Hepatis

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ANOMALOUS PERITONEAL FOLDS OF LIVER WITH INCOMPLETE FISSURE FOR IGAMENTUM TERES - A CASE REPORT

Journal of Anatomical Sciences - Volume 27(2), December 2019 ◽

10.46351/jas.v28i1pp37-42 ◽

2020 ◽

Vol 28 (1) ◽

Author(s):

Arpita Gupta ◽

Jasbir Kaur ◽

Hitendra Loh ◽

Vandana Mehta

Keyword(s):

Case Report ◽

Ligamentum Teres ◽

Left Lobe ◽

Falciform Ligament ◽

Radiological Findings ◽

Caudal Part ◽

Present Case Report ◽

Left Hypochondrium ◽

Ligamentum Teres Hepatis ◽

Variant Anatomy

Liver is the largest organ in the human body occupying right hypochondrium, epigastrium and left hypochondrium. The organ develops in the ventral mesogastrium dividing the latter into a cranial part which forms the falciform ligament and lesser omentum and the caudal part which normally degenerates but may persist occasionally in the form of accessory fissures, ligaments and folds. The present case report describes the occurrence of exceptional and multiple abnormal peritoneal ligaments extending between the liver, diaphragm and abdominal wall. In concurrence, an incomplete fissure for ligamentum teres hepatis is reported which resulted in a communication between the left lobe and quadrate lobe of liver. The knowledge of the normal and the variant anatomy of such peritoneal reflections of liver is of colossal significance for surgeons performing the segmental resection of the liver and radiologists interpreting radiological findings related to liver.

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Management of Asymptomatic Perforation of a Pediatric Rectal Foreign Body into the Peritoneal Cavity Retrieved with Laparoscopy: A Case Report and Review of the Literature

Case Reports in Medicine ◽

10.1155/2021/5851967 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Mehdi Forooghi ◽

Hooman Kamran ◽

Reza Shahriarirad

Keyword(s):

Case Report ◽

Foreign Body ◽

Acute Abdomen ◽

Peritoneal Cavity ◽

Essential Role ◽

Good Condition ◽

Review Of The Literature ◽

Increasing Trend ◽

History Of ◽

Exploratory Laparoscopy

Rectal foreign body insertion has had an increasing trend throughout the years, whereas it is rarely reported in pediatrics. The management and treatment of these cases can become challenging, since it also can present with atypical or even no symptoms in physical evaluation. A 14-year-old boy was referred to our hospital with a history of insertion of a paintbrush into his anus four weeks before the admission. The paintbrush had perforated the colon and was in the abdominopelvic cavity; however, no symptoms of peritonitis were observed. Rectal examination, sigmoidoscopy, and colonoscopy were unremarkable. Exploratory laparoscopy was performed, and the paintbrush was taken out completely. The patient was discharged in good condition. In cases with rectal foreign body insertion, perforation without causing peritonitis or acute abdomen is possible. In these conditions, imaging examinations play an essential role in managing the patients, and laparoscopy can be a proper procedure for retrieving the foreign body.

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Fallbericht: Nekrose des Ligamentum teres hepatis

Ultraschall in der Medizin - European Journal of Ultrasound ◽

10.1055/s-0029-1239689 ◽

2009 ◽

Vol 30 (S 01) ◽

Author(s):

A Schuster ◽

R Weiser ◽

A Haid ◽

U Gruber ◽

G Heinzle ◽

...

Keyword(s):

Ligamentum Teres ◽

Ligamentum Teres Hepatis

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Simpson-Golabi-Behmel syndrome in a female patient: a case report and review of the literature

Molecular Genetics and Metabolism ◽

10.1016/s1096-7192(21)00359-0 ◽

2021 ◽

Vol 132 ◽

pp. S173-S174

Author(s):

Jinxuan Hao

Keyword(s):

Case Report ◽

Female Patient ◽

Review Of The Literature

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A rare case of eight multiple primary malignant neoplasms in a female patient: A case report and review of the literature

Oncology Letters ◽

10.3892/ol.2014.2789 ◽

2014 ◽

Vol 9 (2) ◽

pp. 587-590 ◽

Cited By ~ 8

Author(s):

JIEMIN ZHAO ◽

YAN TAN ◽

YUGANG WU ◽

WEI ZHAO ◽

JUN WU ◽

...

Keyword(s):

Case Report ◽

Female Patient ◽

Rare Case ◽

Malignant Neoplasms ◽

Review Of The Literature ◽

Multiple Primary

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Protein-losing enteropathy as precursor of inflammatory bowel disease: a review of the literature

BMJ Case Reports ◽

10.1136/bcr-2020-238802 ◽

2021 ◽

Vol 14 (1) ◽

pp. e238802

Author(s):

Fritz Ruprecht Murray ◽

Bernhard Morell ◽

Luc Biedermann ◽

Philipp Schreiner

Keyword(s):

Inflammatory Bowel Disease ◽

Liver Cirrhosis ◽

Female Patient ◽

Bowel Disease ◽

Final Diagnosis ◽

Gastrointestinal Diseases ◽

Review Of The Literature ◽

Protein Losing Enteropathy ◽

Inflammatory Bowel ◽

Work Up

We report the case of a 63-year-old female patient with liver cirrhosis who presented with symptoms of severe hypoalbuminaemia and diarrhoea. After ruling out other causes of hypoalbuminaemia and confirmation of an elevated faecal α-1 antitrypsin clearance, the diagnosis of protein-losing enteropathy (PLE) could be established. Since PLE is a syndrome caused by various diseases, classified into erosive and non-erosive gastrointestinal diseases or lymphatic obstruction, an extensive work-up was necessary, establishing the final diagnosis of Crohn’s disease.

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