Purpose Falciform ligament abscess (FLA) is a rare occurrence as a consequence of local inflammation. This case report and literature review outlines the management of this uncommon condition. Methodology & Results A 73-year-old patient presents with epigastric and right-upper-quadrant abdominal pain, on the background of cholangitis and interval laparoscopic cholecystectomy, complicated by superficial umbilical wound infection, months prior. Following two presentations of similar symptoms, computed tomography imaging revealed progression of a circumscribed structure in the vicinity of the falciform ligament, representing abscess formation. Predisposing factors for this condition include the patient’s history of previous cholangitis, laparoscopic cholecystectomy, and umbilical wound infection. The patient proceeded to laparoscopic drainage and washout, with post-operative antibiotics. She had an uneventful recovery, and was discharged three days post-operatively. At seven-months follow-up, she remains well with no recurrence. A literature review of PubMed, Scopus and Embase revealed twelve studies on FLA management. 76.9% cases were managed surgically; of these, 30% were laparoscopic. Recurrence was reported in one case (7.7%), two months following laparoscopic drainage.5 Non-surgical management options include ultrasound-guided drainage and antibiotics. 40% cases failed conservative therapy and proceeded to open surgery. There is a lack of reporting on quality-of-life and economical outcomes of FLA treatment. Conclusion Given the rarity and non-specific presentation of FLA, diagnosis may be missed or delayed. This case report and literature review outlines the management of FLA, demonstrating successful treatment with laparoscopic drainage.