A 26-Year-Old Man with Acute Abdomen Due to Omental Torsion: A Rare Case Report.

Background

Omental torsion (OT) presents as a rare, infrequent pathology with often non-specific symptoms. This condition occurs when the greater omentum is twisted around its axis, producing perfusion defects and vascular impairment of the organ. This case report describes an overweight 26-year-old Caucasian man presenting with acute abdomen in previous appendectomy, whose definitive surgical diagnosis was omental torsion. Omental torsion is a rare pathology regarding the causes of acute abdomen associated with a challenging diagnosis.

Introduction

Omental torsion presents as a rare, infrequent pathology with often nonspecific symptoms. This condition occurs when the greater omentum is twisted around its axis producing perfusion defects and vascular impairment of the organ. Often, the only sign is pain in the right iliac fossa in the absence of fever, vomiting or other symptoms. The causes are not known exactly and may range from congenital malformations to tumors or previous surgeries. Case report: This case report describes an overweight 26-year-old Caucasian man presenting with acute abdomen in previous appendectomy and the definitive surgical diagnosis was omental torsion.

Conclusion

Omental torsion is a rare pathology regarding the causes of acute abdomen associated with a challenging diagnosis. However, the patient's history and correct use of diagnostic images, mainly the CT of the abdomen, can help in the diagnosis. Surgical exploration remains the definitive gold standard.