Primary omental torsion: Two case reports

Objective: To describe two cases of primary omental torsion as an uncommon cause of abdominal pain. Clinical Presentation and Intervention: Two female patients presented to our surgical service with right-sided abdominal pain. In view of their clinical presentation and workup, both patients required operative intervention. At laparotomy, the cause of the pain was recognized to be due to infarcted omentum secondary to torsion. Both patients underwent omentectomy and appendectomy and had an uneventful recovery. Conclusion: Primary torsion of the omentum is difficult to diagnose preoperatively; this condition is usually detected during surgical exploration for acute abdominal pain. Copyright (C) 2007 S. Karger AG, Basel.