Three cases of torsion of the greater omentum treated with conservative therapy

Abstract

Omental torsion is a relatively rare disease and resection of the infarcted omentum was performed for almost all cases. We conservatively treated 3 cases of this disease diagnosed by computed tomography (CT).
A 41-year-old man had right abdominal pain with tenderness and peritoneal signs. Abdominal CT showed a high density mass with concentric strands. We diagnosed the condition as omental torsion and treated it conservatively. On the next day, he had no fever and his abdominal pain subsided. We could also treat the other 2 patients conservatively. Operation is not required for all cases of omental torsion.