A RARE CAUSE OF ACUTE ABDOMINAL PAIN: THE OMENTAL TORSION

Introduction: Omental torsion represents the rotation of the omentum on its long axis. It is a rare cause of acute abdominal pain and can mimic clinically many diseases. In this case report, a boy with omental torsion which was detected during laparotomy. Case report: We report a case of primary torsion in a nine-year-old boy who presented with abdominal pain on the right lower abdominal area. The abdominal pain was initially localized to right lower quadrant. Physical examination which revealed tenderness in the right lower quadrant. The patient did not have rebound tenderness. Ultrasonography findings were normal except minimal free fluid in abdomen. The patient had undergone laparotomy. Rotation of greater omentum was seen during operation. Appendectomy and partial omentectomy was performed. Conclusion: Typical symptom of acute appendicitis begin as periumbilical or epigastric pain migrating to the right lower quadrant of the abdomen. This pain migration is the most discriminating feature of the patient's history. Primary omental torsion should be kept in mind as an unusual cause of acute abdominal pain. Especially, if the patient's abdominal pain initial location right lower quadrant.