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Minimally Invasive Treatment of Falciform Ligament Abscess in a 25-Day-Old Neonate: A Case Report

생후 25일 신생아에서 발생한 겸상인대 농양에 대한 최소 침습적 치료: 증례 보고

  • Lee, Min Ah (Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Lee, Jeong Sub (Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Lee, Mu Sook (Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Kim, Seung Hyoung (Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Lee, Kyung Ryeol (Department of Radiology, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Kim, Yoon Joo (Department of Pediatrics, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Kang, Ki Soo (Department of Pediatrics, Jeju National University Hospital, Jeju National University School of Medicine)
  • 이민아 (제주대학교 의학전문대학원 제주대학교병원 영상의학과) ;
  • 이정섭 (제주대학교 의학전문대학원 제주대학교병원 영상의학과) ;
  • 이무숙 (제주대학교 의학전문대학원 제주대학교병원 영상의학과) ;
  • 김승형 (제주대학교 의학전문대학원 제주대학교병원 영상의학과) ;
  • 이경렬 (제주대학교 의학전문대학원 제주대학교병원 영상의학과) ;
  • 김윤주 (제주대학교 의학전문대학원 제주대학교병원 소아청소년과) ;
  • 강기수 (제주대학교 의학전문대학원 제주대학교병원 소아청소년과)
  • Received : 2018.03.06
  • Accepted : 2018.06.18
  • Published : 2018.11.01

Abstract

The falciform ligament is a hepatic suspensory ligament that extends from the umbilicus to the diaphragm, containing the ligamentum teres and a vestigial remnant of the umbilical vein. Among the rarely-occurring pathologies of the falciform ligament, which include ligament cyst, tumor, abnormal vascularization, and congenital ligament defect, a falciform ligament abscess is even more sporadic. Accordingly, the definitive diagnosis of the falciform ligament abscess is rather challenging and may easily be misinterpreted as an infected choledochal cyst or a liver abscess. We present a 25-day-old infant with the falciform ligament abscess, which developed after the umbilical venous catheter insertion and was successfully treated with percutaneous drainage and antibiotic administration.

겸상인대는 원인대 및 배꼽정맥의 잔유물을 포함하는 구조물로서 배꼽에서 횡격막까지 이어지는 간의 걸이인대이다. 겸상인대에서 발견되는 인대 낭종, 종양, 비정상적인 혈관, 선천적 인대결손 같은 드물게 나타나는 병인 중에서도, 겸상인대 농양은 굉장히 드문 질환이다. 따라서 겸상인대 농양에 대한 정확한 진단은 어려우며, 총담관낭의 감염이나 간농양으로 잘못 해석하기 쉽다. 저자들은 생후 25일된 신생아에게서 배꼽 정맥 도관 삽입 후 발생한 겸상인대 농양에 경피적 배액 및 항생제 투여를 통해 성공적으로 치료된 증례를 보고하고자 한다.

Keywords

References

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Cited by

  1. Falciform ligament abscess: a report of two cases vol.82, pp.4, 2018, https://doi.org/10.1007/s12262-020-02090-5