Conclusion:
Primary omental torsion is a rare cause of acute abdomen that should be
considered in the differential diagnoses of acute abdomen in obese
patients with inconsistent history, examination, and laboratory
findings. The liberal use of CT represents a cornerstone for its
preoperative diagnosis. Despite the controversy, the conservative
approach, which depends on accurate radiological diagnosis, analgesia,
prophylactic antibiotics and close follow up, is a valid judicious
modality of management. It should be attempted as a first line of
management even in young healthy patients. Laparoscopic resection should
be only considered after failure of conservative management.
Source of funding: No funds
Conflict of interest: all authors have no conflict of
interests.
Ethical approval: Case reports are exempted from ethical
approval.
Consent: Witten informed consent was obtained from the
patient for publication of this case report and accompanying images. A
copy of the written consent is available for review by the
Editor-in-Chief of this journal on request.