case_images: PMC5748311_01
case_images: Abdominal axial (a) and sagittal (b) CT scan showing thrombosed falciform ligament (yellow arrows) with patent left portal vein (red arrow).
case_images: CRIRA2017-2879568.001.jpg
case_images: PMC5748311_01_CRIRA2017-2879568.001.jpg
case_images: fig1
case_images: 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.
case_images: 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).
case_images: CRIRA2017-2879568.002.jpg
case_images: PMC5748311_01_CRIRA2017-2879568.002.jpg
case_images: fig2
case_images: Magnetic resonance cholangiopancreatography (MRCP) (Figure 2) was subsequently performed which confirmed the above findings and no biliary duct stones were identified.
case_images: Abdominal axial (a) and sagittal (b) CT scan showing resolution of falciform ligament thrombosis (yellow arrows) with patent left portal vein (red arrow).
case_images: CRIRA2017-2879568.003.jpg
case_images: PMC5748311_01_CRIRA2017-2879568.003.jpg
case_images: fig3
case_images: CT scan of the abdomen and pelvis with contrast (Figure 3) demonstrated ongoing cholecystitis with a resolving falciform ligament thrombosis.
case_images: MRCP axial view (a) showing postcholecystectomy and resolved falciform ligament thrombosis. Projective coronal view (b) showing patent bile duct (green arrows).
case_images: CRIRA2017-2879568.004.jpg
case_images: PMC5748311_01_CRIRA2017-2879568.004.jpg
case_images: fig4
case_images: 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.