A Case of Laparoscopic Resection of Primary Torsion of the Greater Omentum Diagnosed with CT Scan

Abstract

We present the case of a patient who underwent laparoscopic resection of a primary torsion of the greater omentum diagnosed via preoperative computed tomography (CT) scan. This 66-year-old male presented with complaints of epigastric abdominal pain, localized to the right lower region. His blood test showed a slightly increased white blood cell count, elevated human C reactive protein (CRP), and elevated indirect bilirubin. Abdominal CT scan showed a volute shape, which was a concentrically layered structure with mixed high and low densities in the upper right umbilical region. We diagnosed his illness as primary torsion of the greater omentum and performed partial laparoscopic omentectomy, including the necrotic portion. We discharged the patient on postoperative day 5. Laparoscopic surgery may be favorable for this disease because definitive diagnosis and treatment can be performed simultaneously, in a less invasive and safe manner.