Abstract
We report a case of relatively rare omental torsion diagnosed preoperatively and treated laparoscopically. A 38–year–old woman admitted for lower abdominal pain was found in blood studies to have elevated CRP and in abdominal X–ray to have a calcified pelvic mass. Computed tomography (CT) showed a dense fat mass with concentric strands just below the abdominal wall, suggesting omental torsion. Laparoscopic surgery showed greater omental torsion toward the pelvis and distal omental torsion adhering to uterine myoma. We resected the necrotic omentum and uterine myoma. The postoperative course was uneventful and the woman was discharged on postoperative day 2. Our experience indicates that a laparoscopic approach to omental torsion effectively enables definitive diagnosis and subsequent resection.
