Ligamentum Teres Hepatis Abscess

A 78-year-old man with a history of heavy alcohol consumption presented with right hypochondrial pain. Computed tomography revealed an enlarged and edematous round ligament in the liver. Initially treated conservatively for chronic pancreatitis, the patient developed signs of peritoneal irradiation, prompting emergency laparotomy. An abscess was found in the round ligament of the liver and was resected. Escherichia coli was isolated from the blood and abscess cultures. The patient was discharged 21 days after the treatment of peritonitis.