New in JACEP Open: Hidden hemorrhage: A case of idiopathic omental hemorrhage causing spontaneous hemoperitoneum Idiopathic omental hemorrhage (IOH) is a rare condition, often presenting with abdominal pain and intractable nausea or emesis, predominantly in males aged 20–65. Delayed recognition can lead to mortality rates exceeding 30%, emphasizing the need for high clinical suspicion and prompt advanced imaging. This case underscores the importance of early diagnosis and timely intervention in patients with persistent abdominal symptoms. Article link: https://buff.ly/4h9o3rL