Intestinal Strangulation through an Aperture in the Falciform Ligament

Abstract

A case is reported of acute intestinal obstruction in a neonate due to internal strangulation through an uperture in the falciform ligament. The rarity of this condition is discussed.

An unusual cause of small bowel obstruction: herniation through a defect in the falciform ligament

“…2), which acts like a congenital band, allowing small bowel to herniate around it. The defect appears to be of congenital origin as internal hernias around the falciform ligament have been reported in newborn infants [3][4][5].…”

An unusual case of herniation of small bowel through an iatrogenic defect of the falciform ligament

“…The first case was reported by Blunt in 1968 [1]. Review of the literature reported approximately 13 cases and concerned commonly young adults [2,3,4,5,6,7].…”

Herniation of small bowel through the falciform ligament: CT demonstration

“…In seven, descriptive details were sufficient to indicate herniation from the right in five and from the left in two [3][4][5][6]. Although only three patients had bowel infarction resulting in patient demise in two infants and bowel resection in one adult, five others had strangulated bowel which recovered once the obstruction was relieved.…”

“…One adult had only omental herniation through the defect. Of the three adults reCorrespondence to: J. W. Baer ported since 1968, one required bowel resection for infarction [3][4][5][6].The prompt diagnosis of incarcerated bowel obstruction is essential in preserving bowel viability. Balthazar et al [7] have shown the ability to identify 78% of closed loop obstructions by CT.…”