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. 2023 Mar 18;48(6):2167–2195. doi: 10.1007/s00261-023-03877-2

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Fig. 32 — Falciform ligament torsion in two different patients. a and b A 50-year-old female patient presented to ER with intense epigastric pain. a Axial plane postcontrast CT image showed thickened falciform ligament and periligamentous inflammatory stranding (arrowheads). b The inflammatory changes were seen to track downwards posterior to the anterior abdominal wall (arrowheads). Imaging findings were considered to represent falciform ligament torsion, and the patient's symptoms completely subsided with supportive medical treatment within a week. c and d An 86-year-old female patient presented with mild fever and recent-onset, severe epigastric pain. c Axial plane postcontrast CT image showed thickening of the ligamentum teres (arrowheads) with accompanying inflammatory stranding along the course of the falciform ligament extending anteriorly (asterisk). d Axial plane T2-weighted fat-suppressed MR image demonstrated the enlarged ligamentum teres (arrowheads) and surrounding inflammatory changes as increased T2 signal intensity (asterisk). Imaging findings were suggestive of falciform ligament torsion, and the patient responded well to the supportive medical treatment