Torsion of the Falciform Ligament Fatty Appendage: An Overlooked Cause of Abdominal Pain in Adults

Ying Jie Toh; Raymond Jing Long Ng; Shawn Shi Xian Kok; Srujana Ganti

doi:10.12659/AJCR.951191

13 February 2026 : Case report Singapore

Torsion of the Falciform Ligament Fatty Appendage: An Overlooked Cause of Abdominal Pain in Adults

Challenging differential diagnosis, Rare disease

Ying Jie Toh

^{ABCDEF 1*}, Raymond Jing Long Ng

^{ABCDEF 1}, Shawn Shi Xian Kok

^{ABDE 1}, Srujana Ganti

^{ABDE 1}

DOI: 10.12659/AJCR.951191

Am J Case Rep 2026; 27:e951191

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Figure 1 Axial contrast-enhanced CT slice shows focal fat stranding around the falciform ligament (white arrow), consistent with torsion of its fatty appendage. Gallbladder mural edema (arrowhead) without pericholecystic fat stranding is likely reactive.

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Torsion of the Falciform Ligament Fatty Appendage: An Overlooked Cause of Abdominal Pain in Adults

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