title: Omental torsion, a rare cause of acute abdomen.
abstract: Omental torsion is a rare cause of acute abdominal pain. We report a case of omental torsion in a 7-year-old girl, who presented with right iliac fossa pain. The patient underwent an open appendicectomy, during which a normal appendix was identified and a diagnosis of omental torsion was made. The affected segment of omentum was resected along with the appendix. The patient made an uncomplicated recovery and was discharged on day 1 postoperatively. A normal appendix in the presence of omental torsion is found in 0.1% of all appendicectomies in children. We suggest routine visualisation of the omentum in the presence of a normal appendix during appendicectomy.
authors.affiliation: Kent and Canterbury Hospital, Canterbury, UK.
authors.forename: Shivani
authors.initials: S
authors.lastname: Joshi
authors.affiliation: Department of General Surgery, Lewisham and Greenwich NHS Trust, London, UK.
authors.forename: Gary Andrew
authors.initials: GA
authors.lastname: Cuthbert
authors.affiliation: Department of General Surgery, Lewisham and Greenwich NHS Trust, London, UK.
authors.forename: Rajab
authors.initials: R
authors.lastname: Kerwat
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D001062:Appendectomy; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007511:Ischemia / Q000150:complications; D009852:Omentum / Q000098:blood supply / Q000601:surgery*; D010532:Peritoneal Diseases / Q000175:diagnosis; D014102:Torsion Abnormality / Q000150:complications* / Q000601:surgery