Acute Abdominal Pain Caused by Internal Oblique Muscle Rupture

  • Junki Mizumoto
    Requests for reprints should be addressed to Junki Mizumoto, MD, Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongou, Bunkyo-ku, Tokyo 113-0033, Japan.
    Department of Medical Education Studies International Research Center for Medical Education Graduate School of Medicine The University of Tokyo Tokyo, Japan
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      A 52-year-old Japanese male patient was transported to the emergency department because of acute-onset abdominal pain. The pain persisted without waxing or waning, did not radiate, and was not associated with other symptoms. The patient's vital signs were within normal limits. Initial physical examination revealed tenderness at the left lower abdominal quadrant and knocking pain over the left costovertebral angle. Plain computed tomography (CT) performed to rule out critical diseases such as gastrointestinal perforation, aortic diseases, and ureteral calculus revealed no abnormal findings.
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