Omental infarction triggered by tight pants.
Idiopathic segmental infarction of the greater omentum (ISIGO) is a rare cause of acute abdomen. We report a case of ISIGO triggered by a unique etiology-wearing tight pants. A 75-year-old woman presented with acute lower abdominal and left flank pain with rebound tenderness. Her abdominal wall had a linear circumferential scar, which was compatible with a history of a tight elastic waistband of her pants weared around her waist. A computed tomographic (CT) scan showed a lesion of heterogeneous density located distal to the abdominal wall constriction. She was treated conservatively. Thus, combining the physical examination and CT findings is important for the diagnosis of ISIGO.
Community-based Medicine Training Station, Tsukuba University Hospital, Japan. maru-tkb@umin.ac.jp
Naoto
N
Ishimaru
Tetsuhiro
T
Maeno
D000006:Abdomen, Acute / Q000209:etiology*; D034861:Abdominal Wall / Q000473:pathology; D000368:Aged; D003020:Clothing; D003251:Constriction, Pathologic; D004548:Elasticity; D005260:Female; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D009852:Omentum / Q000098:blood supply*; D010532:Peritoneal Diseases; D014057:Tomography, X-Ray Computed