Philippine Journal of Surgical Specialties Vol. 81, No. 1, January-June 2026, pp 18-20
Omental Torsion Presenting As Acute Appendicitis: A Case Report
Author(s): Nathalea V. De Leon, MD; Marc Paul J. Lopez, MD, FPCS; Manuel Francisco T. Roxas, MD, FPCS; Mario Angelo A. Zamora, MD and Claudine Rosario B. Lukban, MD
Omental torsion is a rare cause of acute surgical abdomen from omental twisting leading to distal vascular compromise. Preoperative diagnosis has been a dilemma as clinical features, laboratory and radiographic findings are nonspecific and variable, closely mimicking acute appendicitis. Surgical excision has been suggested to offer rapid symptom relief and postoperative recovery. Presented here is a case of a 59-year-old male with omental torsion who presented with generalized abdominal tenderness and was preoperatively diagnosed as ruptured appendicitis who underwent laparotomy with uneventful post-operative course.
Key words: omental torsion, acute abdomen, appendicitis, case report