I operated a similar case laparoscopically. this is an appropriate approach for omental torsion. I think laparoscopic surgery must be first option for all cases with acute abdomen. 

This approach is best option especially in cases with non specific symptoms of acute abdominal disease, because preoperatively  clinically  is impossible to make exact diagnosis of omental torsion  or infarction.   

There is no doubt that laparoscopy should be the procedure of choice in this situation. Very well done! Peritonitis (localised or generalised) should no longer be considered a contradiction to laparoscopy in our times. One always has the option to convert if laparoscopy is unsuccessful. 

Dr.Reddy,

Excellent hands! Thank you!

Yes

Yes as for most acute abdomen although in this particular case it appears that the primary pathology is appendicitis

Laparoscopy is a good diagnostic tool in case of "surgical" acute Abdomen anyway. There are pathologies that require open surgery however in this case laparoscopy was the choice for diagnosis and therapy.

It appears the tip of the appendix was adherent to the omental infarction. The unequivocal bloody peritoneal fluid & gross appearance of the omentum support a vascular etiology. I'm curious about the pathology found at the tip of the appendix. 

I didn't meet such case in my practice...but I think laparoscopy will be very helpful in its management

Yes

I didn"t see such a case ever before, but I think laparoscopy would be helpful