Non-operative management of primary omental torsion, a case report and literature review.

Primary omental torsion is a rare cause of acute abdomen especially in obese patients with inconsistent history, examination, and laboratory findings. The liberal use of computed tomography in casualties has increased its preoperative diagnosis. Despite the controversy, the non-operative approach should be attempted as a first line of management while the laparoscopic resection should be only considered after failure of non-operative management.