• Apostolos Tsironis, Nikolaos Zikos, Christina Bali, George Pappas-Gogos, Spiridon Koulas, and Nikolaos Katsamakis.
• Department of Surgery, General Hospital of Filiates, Thesprotia, Greece.
• J Emerg Med. 2013 Jan 1;44(1):e45-8.

BackgroundPrimary torsion of the greater omentum is an uncommon cause of acute abdominal pain that mainly affects adults in their fourth or fifth decade. It was first described by Eitel in 1899. Since then, more than 300 cases have been reported in the published literature. Clinical presentation and imaging findings are often of limited value in the diagnosis of primary omental torsion (POT). The patients usually undergo laparotomy for "acute appendicitis" or acute abdomen of poorly defined origin.ObjectivesTo provide a detailed description of this rare cause of acute abdomen.Case ReportWe report a case of POT in a woman of reproductive age and discuss contemporary methods in diagnosis and management of the condition.ConclusionNowadays, laparoscopy is a safe and effective approach for the diagnosis and management of POT, with the advantages of reduced postoperative pain and hospital stay. Conservative management has also been advocated by some authors in selected patients with a preoperative diagnosis of POT based on computed tomography findings.Copyright © 2013 Elsevier Inc. All rights reserved.

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