Infarction of the greater omentum. Case report

Area of Science:

• Gastroenterology
• Surgical Case Report

Background:

• Omental torsion is an uncommon cause of acute abdominal pain, often presenting with symptoms mimicking other surgical emergencies.
• Timely and accurate diagnosis is crucial for appropriate patient management, potentially avoiding unnecessary surgical intervention.

Observation:

• A 65-year-old woman presented with symptoms indicative of acute abdomen.
• Computed Tomography (CT) scan revealed complete torsion of the greater omentum.

Findings:

• Preoperative diagnosis via CT scan enabled a conservative management approach.
• The patient experienced a favorable outcome with the conservative strategy, remaining asymptomatic at 7-month follow-up.

Implications:

• This case highlights the importance of including omental torsion in the differential diagnosis of acute abdomen.
• Advanced imaging techniques like CT can facilitate preoperative diagnosis, guiding conservative treatment strategies and improving patient outcomes.
• Conservative management may be a viable option for omental torsion, contingent on patient evolution and imaging findings.