BACKGROUND Necrosis of the falciform and round ligaments is extremely rare, thus making the diagnosis challenging. It is often misdiagnosed as gallbladder pathology due to the presenting symptoms. Due to the rarity of this pathology, there is limited literature available. CASE PRESENTATION A 53-year-old white man presented to our hospital with signs and symptoms of gallbladder pain but turned out to have the rare entity of necrosis of the falciform and round ligaments. An extensive review of the world literature was performed using PubMed. Manual cross-referencing of reference lists was performed to obtain all available articles. The personal operative log of the senior author was also searched to reveal one additional case. Statistical analysis was descriptive only, given the small number of reported cases. Thirty-nine articles were found, among which forty-three case were identified, and one additional case was extracted from the operative log of the senior author. Unlike previous reports, we found that isolated inflammation and necrosis of the ligaments occurs at nearly the same frequency in both men and women, not predominantly in women as previously reported in smaller series. The mean age at presentation was 59.5 years old, and cases were typically initially diagnosed as gallbladder pathology, most commonly acute cholecystitis. Computed tomography more frequently than ultrasound revealed the falciform and round-ligament pathology. CONCLUSIONS Isolated falciform and round-ligament inflammation and necrosis is a rare condition that is difficult to diagnose because it can present mimicking a wide variety of intra-abdominal pathologies, particularly gallbladder pathologies. It is often best treated by laparoscopic resection. Unlike prior reports, our review of the literature, which is the largest that we know of to date, shows that males and females are equally affected. Greater awareness of this entity will aid in future diagnosis.

中文翻译：

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镰状和圆形韧带的自发性炎症和坏死：一例病例报告并文献复习。

背景技术镰状和圆形韧带的坏死极为罕见，因此使诊断具有挑战性。由于出现症状，常被误诊为胆囊病理。由于这种病理的稀有性，可用的文献有限。病例介绍一名53岁的白人因胆囊疼痛的症状和体征到我院就诊，但事实证明这种罕见的病菌是镰状和圆形韧带坏死。使用PubMed对世界文学进行了广泛的回顾。执行参考列表的手动交叉参考以获得所有可用的文章。还搜索了高级作者的个人手术日志，以揭示另一起案件。鉴于报告的病例很少，统计分析仅是描述性的。共找到39条文章，其中确定了43例，并从高级作者的手术日志中提取了另外一例。与以前的报道不同，我们发现孤立的韧带炎症和坏死在男人和女人中的发生频率几乎相同，而不是以前在较小系列中所报道的女性。出现时的平均年龄为59.5岁，通常最初被诊断为胆囊病理，最常见的是急性胆囊炎。计算机断层扫描比超声更能显示出镰状和圆形韧带病变。结论孤立的镰状和圆形韧带炎症和坏死是一种罕见的疾病，难以诊断，因为它可以模仿多种腹内病理，尤其是胆囊病理。通常最好通过腹腔镜切除术治疗。与以前的报告不同，我们对文献的回顾是迄今为止迄今为止已知的最大文献，它表明，男性和女性受到同等的影响。对该实体的更多了解将有助于将来的诊断。