Omental torsion, a rare cause of acute abdomen. (5th January 2016)

• Record Type: Journal Article
• Authors: Joshi, Shivani; Cuthbert, Gary Andrew; Kerwat, Rajab
• Is Part Of: BMJ case reports. Volume 2016
• Publication Date: 2016-01-05
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2015-213118
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Omental torsion is a rare cause of acute abdominal pain. We report a case of omental torsion in a 7-year-old girl, who presented with right iliac fossa pain. The patient underwent an open appendicectomy, during which a normal appendix was identified and a diagnosis of omental torsion was made. The affected segment of omentum was resected along with the appendix. The patient made an uncomplicated recovery and was discharged on day 1 postoperatively. A normal appendix in the presence of omental torsion is found in 0.1% of all appendicectomies in children. We suggest routine visualisation of the omentum in the presence of a normal appendix during appendicectomy.