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.