DOI: 10.36347/sasjs.2024.v10i07.024

Pages: 856-860

Among the causes of acute abdomen encountered in the emergency room, omental pathology remains rare and is little known by practitioners. Idiopathic omental torsion is part of it, whether primary or secondary, its clinical presentation is non-specific, including atypical abdominal pain and the main symptom. Which exposes one to an error or even a delay in diagnosis given the multitude of differential diagnoses. Abdominal CT remains the examination of choice to make the diagnosis. In case of doubt, surgical exploration, preferably laparoscopic, allows the diagnosis to be made as well as treatment by performing an omentectomy. The choice of therapeutic approach, conservative or omentectomy, remains controversial in the literature. In this article we highlight the diagnostic and therapeutic challenges of this entity through the case of a 53-year-old patient admitted for acute abdominal pain, whose investigations reveal an idiopathic omental torsion and also exposing the results of the two therapeutic approaches.