Introduction:
Differential diagnoses for the acute abdomen are diverse and primary
omental torsion represents one of its rare causes.(1) Traditionally, it
was merely intraoperative diagnosis as its preoperative diagnosis was
challenging owing to its unspecific symptoms and signs. The preoperative
diagnosis has been estimated to be established in less than 5% of all
cases. However, the extensive use of different imaging modalities in
surgical emergencies has increased the rate of accurate preoperative
diagnosis of omental torsion.(2)
There is no definite consensus for the best management approach if the
omental torsion is preoperatively diagnosed based on imaging studies.(3)
Historically, surgical resection has been widely performed as it was
usually diagnosed intraoperatively. However, a conservative
non-operative approach can be beneficial in many cases when its
diagnosis is confidently established.(3)
Herein, we present a young male patient who was preoperatively diagnosed
as primary omental torsion based on the characteristic computed
tomography (CT) findings and was successfully managed
non-operatively. This work is reported in line with SCARE criteria.(4)