2007 Volume 49 Issue 1 Pages 21-29
A 21-year-old man was admitted to the hospital because of epigastric pain and slight fever. Physical examination showed epigastric tenderness, rebound tenderness and muscular defence. Blood tests showed increases in the white blood cell counts, erythrocyte sedimentation rate and C-reactive protein value. Endoscopic examination and barium study revealed the lesser curvature of the stomach pushed from the outside. Ultrasonography and computed tomography showed inflammatory and mass-like changes in the fat tissue between the liver and stomach, that is, the lesser omentum. Laparoscopical examination revealed strong adhesion between the liver and stomach. Under the diagnosis of panniculitis of the lesser omentum, the symptoms disappeared and laboratory data were normalized by a conservative treatment. This is the first case report of panniculitis of the lesser omentum and its characteristic images.
