Falciform ligament: A cause of extrinsic antral obstruction in the neonatla period

doi:10.1016/S0022-3468(86)80113-0

Journal of Pediatric Surgery

Volume 21, Issue 11, November 1986, Pages 977-978

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We are describing two cases of neonatal antral obstruction due to the presence of an abnormal falciform ligament. Abdominal palpation revealed a cord in the right hypochondrium. In one case, a barium swallow revealed a very short extrinsic compression of the antrum. Division of the abnormally wide fibrous falciform ligament cured the babies

References (1)

F.-H Netter: Normal anatomy of the liver, biliary tract and pancreas, in Oppenheimer E (ed): Ciba Collection of Medical...

Cited by (5)

Nonfixation of the falciform ligament discovered during laparoscopic pyloromyotomy in a 3-week-old infant: A potential cause of intestinal obstruction
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Citation Excerpt :
Our case is one of two reports of nonfixation of the falciform involving the colon. Interestingly there have been two cases where nonfixation of the falciform has been associated with gastric antral obstruction and one case where this anomaly was discovered in a baby with pyloric stenosis [4,8]. Typically resolution of the bowel obstruction is accomplished by ligation and resection of the umbilical vein remnant.
Failure of the peritoneum to fuse with the umbilical vein can lead to nonfixation of the falciform ligament. The exposed remnant of umbilical vein persists as a congenital band spanning the peritoneal cavity from the umbilicus to the liver. This abnormality has been associated with internal herniation and bowel obstruction in infants. We describe a case of pyloric stenosis in an infant who, at the time of laparoscopic pyloromyotomy, was found to have nonfixation of the falciform ligament causing a volvulus of the transverse colon without clinical signs of obstruction.
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Internal herniation through a defect in the falciform ligament: A case report and review of the world literature
2000, Hernia

¹: From the Service de Chirurgie Pédiatrique, Hôpital Universitaire, Brugmann, and the Université Libre de Bruxelles, Belgium.

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