{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T04:53:38Z","timestamp":1769835218921,"version":"3.49.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,1,17]],"date-time":"2022-01-17T00:00:00Z","timestamp":1642377600000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The falciform ligament is a remnant of the embryonic ventral mesentery containing the obliterated umbilical vein and round ligament. It extends from the umbilicus to the superior aspect of the diaphragm. We report about a 53-year-old fit and well patient who presented with acute upper abdominal pain with tenderness to palpation. Ultrasound scan was unremarkable, but blood tests revealed raised inflammatory markers. Thus, computed tomography was performed. This demonstrated acute torsion and fat necrosis of the falciform ligament, which was the aetiology of the upper abdominal pain. Such pathology is rare with 23 previously reported cases. Conservative management is usually proposed, but on occasion, surgical intervention may be warranted in cases that do not respond to initial supportive measures. We describe this case to demonstrate a rare cause of a common presentation to the surgical service.<\/jats:p>","DOI":"10.1093\/jscr\/rjab150","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T20:09:09Z","timestamp":1641326949000},"source":"Crossref","is-referenced-by-count":8,"title":["Falciform ligament torsion as a rare aetiology of the acute abdomen"],"prefix":"10.1093","volume":"2022","author":[{"given":"Adam","family":"O\u2019Connor","sequence":"first","affiliation":[{"name":"Department of General Surgery, Tameside General Hospital, Ashton-Under-Lyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shariq","family":"Sabri","sequence":"additional","affiliation":[{"name":"Tameside General Hospital, Ashton-Under-Lyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maseera","family":"Solkar","sequence":"additional","affiliation":[{"name":"Yorkshire Deanery, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amaila","family":"Ramzan","sequence":"additional","affiliation":[{"name":"Tameside General Hospital, Ashton-Under-Lyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamoon","family":"Solkar","sequence":"additional","affiliation":[{"name":"Tameside General Hospital, Ashton-Under-Lyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,1,17]]},"reference":[{"key":"2022011801060900000_ref1","first-page":"293491","article-title":"Torsion of fatty appendage of falciform ligament: acute abdomen in a child","volume":"2015","author":"Maccallum","year":"2015","journal-title":"Case Rep Radiol"},{"key":"2022011801060900000_ref2","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.diii.2013.01.016","article-title":"Torsion of a fatty fringe of the falciform ligament, a rare cause of right hypochondrial pain","volume":"94","author":"Uyttenhove","year":"2013","journal-title":"Diagn Interv Imaging"},{"key":"2022011801060900000_ref3","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1007\/s00276-003-0184-0","article-title":"Anatomical study on the morphology and blood supply of the falciform ligament and its clinical significance","volume":"26","author":"Li","year":"2004","journal-title":"Surg Radiol Anat"},{"key":"2022011801060900000_ref4","first-page":"171","article-title":"Contribution of US and CT for diagnosis of intraperitoneal focal fat infarction (IFFI): a pictorial review","volume":"93","author":"Coulier","year":"2010","journal-title":"JBR-BTR"},{"key":"2022011801060900000_ref5","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1111\/j.1440-1673.2006.01573.x","article-title":"Primary torsion of the falciform ligament: computed tomography and ultrasound findings","volume":"50","author":"Lloyd","year":"2006","journal-title":"Australas Radiol"},{"key":"2022011801060900000_ref6","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s003300000570","article-title":"US and CT diagnosis of a twisted lipomatous appendage of the falciform ligament","volume":"11","author":"Coulier","year":"2001","journal-title":"Eur Radiol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/1\/rjab150\/42216282\/rjab150.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/1\/rjab150\/42216282\/rjab150.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T01:06:21Z","timestamp":1642467981000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjab150\/6508747"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjab150","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,1]]},"published":{"date-parts":[[2022,1,1]]},"article-number":"rjab150"}}