Strangulated right inguinal hernia containing torsion of the greater omentum

Torsion of the greater omentum is a rare condition in which the omentum twists on its long axis to such an extent that its viability is compromised. It is classified as primary or secondary. The secondary cases are usually the outcome of a trapped omental segment in postoperative scarring or wounds or a hernia sac. We report a case of strangulated right inguinal hernia containing torsion of the greater omentum as its contents. Exploration of right inguinal canal revealed indirect inguinal hernia with torsion of the greater omentum within the hernia sac. Though omental torsion is a rare cause of strangulated inguinal hernia but should be included in the differential diagnoses of acute painful inguino-scrotal swellings.