• Zenon Pogorelić, Josip Katić, Karla Gudelj, Ivana Mrklić, Katarina Vilović, and Zdravko Perko.
• Attending Physician, Department of Pediatric Surgery, Split University Hospital Centre and Split University School of Medicine, Croatia zenon@vip.hr.
• Scot Med J. 2015 Aug 1; 60 (3): e1-4.

IntroductionTorsion of the omentum is twisting along its long axis and a rare cause of acute abdomen. Depending on associated conditions, it is classified as primary and secondary. It may mimic different pathologies presenting as acute abdomen, most common of them being acute appendicitis. Current choice for management of omental torsion is laparoscopic surgery.Case PresentationWe present two cases of omental torsion of two boys who presented with abdominal pain, nausea and vomiting and underwent emergency laparoscopy.ConclusionOmental torsion is very rare, and its diagnosis is usually made only after surgery. At laparoscopy, omental torsion is suspected when the appendix is normal and the symptoms and findings of torsion are present. Laparoscopy is a safe and effective approach for the diagnosis and management of omental torsion, with the advantages of reduced postoperative pain and hospital stay.© The Author(s) 2015.

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