title: Acute abdomen due to primary omental torsion: case report.
abstract: BACKGROUND
  Primary torsion of the greater omentum is an uncommon cause of acute abdominal pain that mainly affects adults in their fourth or fifth decade. It was first described by Eitel in 1899. Since then, more than 300 cases have been reported in the published literature. Clinical presentation and imaging findings are often of limited value in the diagnosis of primary omental torsion (POT). The patients usually undergo laparotomy for "acute appendicitis" or acute abdomen of poorly defined origin.
  
  
  OBJECTIVE
  To provide a detailed description of this rare cause of acute abdomen.
  
  
  METHODS
  We report a case of POT in a woman of reproductive age and discuss contemporary methods in diagnosis and management of the condition.
  
  
  CONCLUSIONS
  Nowadays, laparoscopy is a safe and effective approach for the diagnosis and management of POT, with the advantages of reduced postoperative pain and hospital stay. Conservative management has also been advocated by some authors in selected patients with a preoperative diagnosis of POT based on computed tomography findings.
authors: Department of Surgery, General Hospital of Filiates, Thesprotia, Greece.
authors: Apostolos
authors: A
authors: Tsironis
authors: Nikolaos
authors: N
authors: Zikos
authors: Christina
authors: C
authors: Bali
authors: George
authors: G
authors: Pappas-Gogos
authors: Spiridon
authors: S
authors: Koulas
authors: Nikolaos
authors: N
authors: Katsamakis
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis*; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009852:Omentum / Q000601:surgery; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome