A rare case of omental torsion - a surprise diagnosis of acute pelvic pain

Naimah Raza; Prema Kania; Prashant Bhamare

doi:10.18203/2320-1770.ijrcog20163029

Authors

Naimah Raza Department of Obstetrics and Gynecology, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India
Prema Kania Department of Obstetrics and Gynecology, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India
Prashant Bhamare Department of Obstetrics and Gynecology, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20163029

Keywords:

Omental torsion, Acute abdomen, Acute pelvic pain, Omentectomy, Omental infarction

Abstract

Omental torsion is a rare cause of acute abdominal or pelvic pain. It is rarely diagnosed pre-operatively. It poses a great challenge as it closely mimics the other conditions causing acute surgical abdomen, such as appendicitis, ovarian torsion, ruptured ovarian cyst or ectopic pregnancy etc. Hence, often it presents as a surprise intra-operative diagnosis. Though exploratory laparotomy represents the diagnostic and definitive therapeutic procedure, presently Laparoscopy is the first choice procedure.

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