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Laparoscopic primary right omental torsion: a challenging diagnosis in acute abdomen: a case report

Year: 2025

Type: article

Abstract: Omental torsion is rarely diagnosed preoperatively and often misdiagnosed with other pathologies as acute abdomen, the most common of them being acute appendicitis. The current choice for the management of omental torsion is laparoscopic surgery. We present a case of a 35-year-old male with 48 h of acute abdominal pain mainly located in the epigastrium but then progressively migrated to the right iliac fossa. Abdominal CT showed mild thickening of the appendix. It also shows that the greater omentum locally hyperdense fat. The patient was brought to the operating room for diagnostic laparoscopy, revealing a primary right omental torsion. The patient was discharged 48 h later with no complications.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf463

Authors: Jesús Eduardo Prior Rosas, Moisés Alejandro Perdomo Galván, Paul Robledo Madrid, Andrés Armendáriz Rodríguez, Carol Atzimba Zepeda Carrillo

Institution: Mexican Social Security Institute

Language: English

Topic: Omental and Epiploic Conditions

Subfield: Rheumatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000