Falciform ligament abscess with portal pyemia in a newborn.
An 18-day-old female neonate presented with abdominal distention and bilious vomiting for 5 days. Abdominal examination showed hepatomegaly and a mass in the right hypochondrium. Ultrasound showed an extrahepatic cyst with internal echoes and dilated intrahepatic radicals. A contrast computer tomography showed a large cyst arising from the falciform ligament, extending into the liver parenchyma and a dilated portal venous system. Diagnosis of falciform ligament abscess with portal pyemia was made. Excision of the falciform ligament was done. After a follow up of 1 year, the child remains asymptomatic. To our knowledge, a falciform ligament abscess causing intrahepatic portal pyemia in a newborn has not been previously been described.
Pratap
Akshay
A
Department of Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal. akshay_pratap2000@yahoo.co.in
Tiwari
Awadesh
A
Anchal
Nitish
N
Agrawal
Chandra Shekhar
CS
Shreshta
Pramod
P
Shakya
Vikal Chandra
VC
D018784:Abdominal Abscess / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008022:Ligaments; D010532:Peritoneal Diseases / Q000175:diagnosis* / Q000601:surgery*; D011169:Portal Vein / Q000601:surgery*