PMC5748311_01
Abdominal axial (a) and sagittal (b) CT scan showing thrombosed falciform ligament (yellow arrows) with patent left portal vein (red arrow).
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Tomography (CT) scan of her abdomen and pelvis with contrast (Figure 1) was performed to confirm our diagnosis but instead it revealed a thin-walled gall bladder, stranding adjacent to the pancreatic tail and a 3 cm reduced attenuation structure, which was thought to represent an acute thrombosis of the umbilical vein. There was no evidence of collection.
MRCP (magnetic resonance cholangiopancreatography). Axial view (a) showing thrombosed falciform ligament (yellow arrows). Projective coronal view (b) showing patent bile duct with no stones (green arrows).
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Magnetic resonance cholangiopancreatography (MRCP) (Figure 2) was subsequently performed which confirmed the above findings and no biliary duct stones were identified.
Abdominal axial (a) and sagittal (b) CT scan showing resolution of falciform ligament thrombosis (yellow arrows) with patent left portal vein (red arrow).
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CT scan of the abdomen and pelvis with contrast (Figure 3) demonstrated ongoing cholecystitis with a resolving falciform ligament thrombosis.
MRCP axial view (a) showing postcholecystectomy and resolved falciform ligament thrombosis. Projective coronal view (b) showing patent bile duct (green arrows).
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A MRCP scan (Figure 4) was carried out 8 weeks after procedure and revealed no biliary duct stones or strictures and a complete resolution of falciform ligament thrombosis.