Few cases of falciform ligament hematoma have been reported. This implies that the pathology of falciform ligament hematoma and abscess is poorly understood, and many surgeons may be unable to recognize it when encountered. We therefore report a case of falciform ligament hematoma secondary to warfarin medication.
CASE REPORTA 70-year-old female was admitted to the hospital with a three-day history of right upper quadrant pain, fever and nausea. There was no history of jaundice. Her medical history revealed that she was prescribed warfarin and oral anti-diabetic drug for cerebrovascular accident and diabetes mellitus. There was no history of abdominal surgery or abdominal trauma. On physical examination, she was found to have a 4 cm, painful right upper quadrant mass. Her body temperature was 38.2°C. Results of laboratory studies showed: white blood cell count, 12,500/ml; serum aspartate aminotransferase (AST), 85 IU/L; serum alanine aminotransferase (ALT), 85 IU/L; serum glucose, 160 mg/dl; international normalized ratio (INR) 1.99; and prothrombin time, 23.5 seconds. On palpation, there was right upper quadrant abdominal tenderness and guarding with peritoneal irritation.