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

Naimah Raza, Prema Kania, Prashant Bhamare


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.


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

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Eitel GG. Rare omental torsion. NY Med Rec. 1899;55:715-6.

Basson SE, Jones PA. Primary torsion of the omentum. Ann R Coll Surg Engl.1981;63:132-4.

Concannon ES, Hogan AM, Ryan RS. Primary Omental Infarction: A Rare Cause of Acute Abdominal Pain. Clinical and Experimental Medical Sciences. 2013;1(5):233-40.

Young TH, Lee HS, Tang HS. Primary torsion of the greater omentum. Int Surg. 2004;89(2):72-5.

Maeda T, Mori H, Cyujo M, Kikuchi N, Hori Y, Takaki H. CT and MR findings of torsion of greater omentum: a case report. Abdom Imaging. 1997;22(1):45-6.

Andreuccetti J, Ceribelli C, Manto O, Chiaretti M, Negro P, Tuscano D. Primary omental torsion (POT): a review of literature and case report. World J Emerg Surg. 2011;6:6.