Diagnostic laparoscopy and omentectomy were performed and a large portion of omentum was found to be ischemic. Histopathology revealed omental hemorrhage with non-specific inflammation.

A right-sided open hernia repair was also performed.

Torsion of the omentum is the main cause for infarction;

Causes of omental torsion include:

• primary torsions (without other pathologic intra-abdominal findings)

• secondary torsions (secondary to tumors, cysts, inflammatory changes, adhesions, hernias)

Co-authors: Dr. Sanjoy Kumar and Dr. Amanjee