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 3 Axial contrast-enhanced CT slice shows focal fat stranding around the falciform ligament (white arrow), extending towards the umbilical region, consistent with torsion of its fatty appendage. Mild reactive gallbladder mural edema is also seen (white arrow). The pancreas is unremarkable (not fully shown).

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

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