Omental torsion with multiple congenital anomalies

Abstract

Aim: We report two rare cases with complete omental torsion with right sided inguinal hernia, maldescended testis and Meckel’s diverticulum along with review of literature. Patients: Two patients presenting with acute abdomen and inguinal hernia, diagnosed preoperatively as omental torsion and undescended testis and Meckel’s diverticulum were managed operatively with omentectomy, hernioplasty and orchidectomy. Results: Both patients recovered well postoperatively and have remained asymptomatic. Conclusion: Omental torsion is one of the rare causes of acute abdomen and may mimic various other causes. It is quite often possible to diagnose preoperatively by USG and CT scan abdomen. Symptomatic patients with preoperative diagnosis need omentectomy preferably through laparoscopy. Keywords: Omental torsion; inguinal hernia; maldescended testis; meckel’s diverticulum; laparoscopic omentectomy