Although the case reports of torsion of the great omentum have greatly increased since the recognition of this condition has become more general, still it is of sufficient rarity to warrant the report of all cases, particularly of the intra-abdominal variety.
R., male, aged 45, referred by Dr. W. V. C. Francis, with the following history: Appendectomy during an acute attack five years ago, with suppuration of the wound; since then the patient has had frequent attacks of abdominal pain of a colicky nature. July 22, 1910, an attack of unusual severity was followed by the formation of a tumor in the right iliac region which was tender to pressure. The temperature varied from normal to 101 F. The patient had not vomited. The bowels had moved daily. August 1, ten days after the commencement of his illness, the acute symptoms had subsided. He complained of little pain and