Omental torsion is a rare cause of acute abdomen with non-specific presentations mimicking other common pathologies. It is commonly found incidentally during surgery. This case presented as acute appendicitis and noted to have secondary omental torsion with simultaneous acute appendicitis intraoperatively. Open appendicectomy and partial omentectomy were performed. Ultrasonography and Computed Tomography can detect omental torsion preoperatively and is beneficial especially when patients have vague presentations. Hence, imaging can assist in planning of surgical treatment options.
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