A Diagnosis to Keep in Mind: Primary Omental Torsion in Children

Omental torsion is an uncommon cause of acute abdominal pain in the pediatric population, most often misdiagnosed as acute appendicitis. It occurs when the omentum twists around its long axis, causing venous obstruction, edema, and vascular compromise. Symptoms are nonspecific. Ultrasound scanning is not sensitive enough for the diagnosis and diagnosis is frequently made while operation. Omental surgical resection is considered as the gold standard. We report a case of a primary torsion of the lesser omentum in a 5-year-old girl and discuss contemporary methods in diagnosis and management of the condition.

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