Abstract
We report a case of omental torsion secondary to an inguinal hernia. A 53-year-old man was admitted due to right inguinal and lower abdominal pain. He had an incarcerated right inguinal hernia which could not be released.
Abdominal CT scan showed a concentric whorl-like structure which was edematous distally towards the right inguinal hernia. Under a diagnosis of secondary omental torsion associated with an incarcerated right inguinal hernia, emergency surgery was performed. An indirect inguinal hernia was found ; the greater omentum adhered to the hernia sac and was twisted clockwise four times at this location. The distal side of the omentum was necrotic, but the proximal side was not necrotic. The distal side of the necrotic omentum was resected, and a radical repair of the inguinal hernia using a mesh-plug was performed. The patient was discharged from the hospital on the 8th postoperative day. Right abdominal pain possibly due to edema of the residual omentum persisted for three weeks after the operation ; it resolved with conservative therapy.
