A 30-year-old male patient, presented to the emergency department with the chief complaint of acute nonradiating pain localized in the right-side abdomen for the past 3 days. The patient had a past medical history of sclerosing cholangitis (SC) with IBD. The patient reported the pain as persistent, pressure-like, and moderate. The patient also had a low-grade fever and nausea at the time of admission. On examination, the vital signs were found as normal. The patient reported that the abdominal pain gets exacerbated after the meals, and increase in physical activity and movement. On examination, the abdomen was found to be soft and slightly distended. Besides, tenderness was observed in the upper quadrant and iliac fossa specifically on the right-side, as well as physiological signs of the discomfort in the peritoneum. A complete blood count showed moderate leukocytosis. A CT scan was conducted to examine the appendix as the patient presented with appendicitis-like symptoms. However, the test indicated a normal appendix with no strands. The test also revealed the appearance of thickened fat tissues, oval in structure along with twisting of blood vessels in the right abdomen. An radiograph of the chest showed no air below the diaphragm. Clinical findings of renal and hepatic function tests were at normal levels and serum amylase was found to be 105 U/l. Examination of the hernial orifices, genitalia, rectum, prostate and the pelvis were found to be normal and the rectum was empty. Laparoscopy revealed a little amount of blood with some inflammatory mass and a part of the omentum that is infarcted. It also revealed that a segment of the greater omentum to have been torted several times around a narrow base. It confirmed a hemorrhagic infarction with necrosis into the greater omentum, connected to the proximal transverse colon, while the remaining parts were normal.