Presentation
The patient presents with marked tenderness in the right hypochondrium.
Patient Data
At the site of maximum tenderness, there is an ill-defined hyperechoic area seen superficial to the left lobe of the liver with no significant internal vascularity.
An ill-defined area of omental fat stranding is observed superficially to the left lobe of the liver, characterized by indistinct margins at the site of anatomical falciform ligament.
Case Discussion
Epiploic appendagitis of the falciform ligament is a rare condition characterized by inflammation of the epiploic appendages attached to the falciform ligament in the liver. On imaging studies such as CT scans, it typically appears as a focal, ovoid, fat-density lesion adjacent to the falciform ligament. The inflamed appendage may exhibit hyperattenuation due to edema, surrounded by a thin rim of low attenuation corresponding to fibrous tissue. This condition can mimic other acute abdominal pathologies, so careful evaluation and consideration of clinical history are crucial for accurate diagnosis and appropriate management.
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