A RARE CAUSE OF ACUTE ABDOMINAL PAIN: THE OMENTAL TORSION

Abstract

lntroduction: Omental torsion represents the rotation of the omentum on its long axis. it is a rare cause of acute abdominal pain and can mimic clinically many diseases. in this case report, a boy with omental torsion which was detected during laparotomy. Case report: We report a case of primary torsion in a nine-year-old boy who presented with abdominal pain on the right lower abdom inal area. The abdomina l pain was initially localized to right lower quadrant. Physical exam ination which revealed tenderness in the right lower quadrant. The patient did not have rebound tenderness. Ultrasonographyfindings were normal except minimal free fluid in abdomen. The patient had undergone laparotomy. Rotation of greater omentum was seen during operation. Appendec tomy and partial omentectomy was performed . Conclusion: Typical symptom of acute appendicitis begin as periumbilical or epigastric pain migrating to the right lower quadrant of the abdomen. This pain migration is the most discriminating feature ofthe patient's history. Primaryomental torsion should be kept in mind as anunusual cause of acute abdominal pain. Especially, ifthepatient 's abdominal pain initial location right lowerquadrant.