Introduction:

Torsion of the greater omentum is a condition in which a pedicle twists on its axis and produces inflammation by contiguity that can mimic the clinical symptoms and signs of acute appendicitis and may lead to a misdiagnosis if it is not clinically suspected.

Method:

We present a case of a primary torsion of the greater omentum; we emphasize the clinical presentation and different criteria of medical or surgical approach.

Case report:

We report the case of a patient with a history of more than two weeks of abdominal pain similar to peptic ulcer disease and multiple Emergency Department visits; the symptomatology progressively intensified, so the decision was made to perform laparoscopic surgical exploration that revealed omental torsion, which appeared to have twisted on its pedicle; it was resected, with a rapid and uneventful recovery.

Conclusion:

Omental torsion is rare; however, the knowledge of this pathology is important to the surgeon because it mimics the common causes of surgical abdomen. Laparoscopic resection is an excellent alternative method of treatment.