<![CDATA[Background: Omental torsion is a rare condition that can cause acute abdominal pain similar to appendicitis, making preoperative diagnosis difficult. Abdominal massage, although commonly used as a complementary therapy to relieve pain and digestive disorders, has the potential to increase intra-abdominal pressure, which can trigger serious complications, including omental torsion. Case description: A 29-year-old man came to the surgical clinic of the Yogyakarta Hospital with 18 hours of abdominal pain that began in the upper abdomen and then moved to the right lower quadrant, with a history of self-administered abdominal massage. The patient underwent emergency laparoscopy, which revealed a hyperemic appendix and a twisted and necrotic greater omentum. Laparoscopic appendectomy and omentectomy were performed. Anatomic pathology confirmed the diagnosis of acute appendicitis and omental torsion. This simultaneous occurrence is rarely reported and poses clinical and radiological diagnostic challenges. Conclusion: This study highlights the potential risk of intense abdominal massage as a trigger for omental torsion, especially in individuals with anatomical predispositions such as obesity or intra-abdominal adhesions. Therefore, caution is required when performing abdominal massage, particularly in patients with acute abdominal pain. Early treatment through laparoscopy provides a definitive diagnosis and adequate therapy, avoiding life-threatening complications. This study adds insight into the potential interaction between massage therapy and omental complications, as well as the need for public and medical education regarding the risks of abdominal massage in conditions of intra-abdominal inflammation.]]>
