Let $B_r(x) \subset \mathbb R^n$ denote the open ball with center $x \in \mathbb R^n$ and radius $r > 0$. For $x,y \in \mathbb R^n$ and $t \in \mathbb R$ define $L(x,y;t) = (1-t)x + ty$ and $L(x,y) = \{ L(x,y;t) \mid t \in [0,1] \}$ = line segment from $x$ to $y$.
A polygonal chain in $\mathbb R^n$ is a set of the form
$$P(x_1,\ldots,x_n) = \bigcup_{i=1}^{n-1} L(x_i,x_{i+1})$$
The $x_i$ are called its vertices. We also say that $P(x_1,\ldots,x_n)$ is polygonal chain from $x_1$ to $x_n$.
Lemma 1. If $\Omega \subset \mathbb R^n$ is open and connected, then for any two $x,y \in \Omega$ there exists a polygonal chain $P \subset \Omega$ from $x$ to $y$.
Proof. Let $x \in \Omega$ and let $U$ be the set of points $y \in \Omega$ which admit a polygonal chain $P \subset \Omega$ from $x$ to $y$. Then $U$ is open: Let $y \in U$ and $P(x_1,\ldots, x_n) \subset \Omega$ be a polygonal chain from $x$ to $y$. We have $B_r(y) \subset \Omega$ for some $r > 0$, thus for each $y' \in B_r(y)$ the set $P(x_1,\ldots, x_n,y') \subset \Omega$ is a polygonal chain from $x$ to $y'$. Also the complement $V = \Omega \setminus U$ is open: For $y \in V$ we have $B_r(y) \subset \Omega$ for some $r > 0$, and if $y' \in U$ for some $y' \in B_r(y)$, then there is a polygonal chain $P(x_1,\ldots, x_n) \subset \Omega$ from $x$ to $y'$, hence $P(x_1,\ldots, x_n,y) \subset \Omega$ is a polygonal chain from $x$ to $y$, a contradiction. The connectivity of $\Omega$ shows that $U = \Omega$.
Lemma 2. Let $\Omega \subset \mathbb R^n$ be regular (which means that it is open, connected and satisfies the local convexity property of the question) and let $P(x,y,z) \subset \Omega$ be a polygonal chain with three vertices. Then also line segment $L(x,z)$ is contained in $\Omega$.
Proof. Assume that $L(x,z)$ intersects the closed set $C = \mathbb R^n \setminus \Omega$. In particular it is impossible that $y \in L$ and we conclude that $x, y, z$ lie in a (unique) two-dimensional affine plane $E \subset \mathbb R^n$.
For $t \in [0,1]$ let $T(x, t) \subset E$ denote the solid triangle with vertices $x, y, y_t = L(y,z;t)$. For $t = 0$ it is degenerate to the line segment $L(x,y)$. The line segment $L(x,y_t)$ is an edge of $T(x,t)$ and we have $T(x,t) = \bigcup_{s \in [0,t]} L(x,y_s)$. Define
$$A = \{ t \in [0,1] \mid T(x, t) \subset \Omega \} , \tau = \sup A .$$
We have $0 \in A$, thus $\tau \in [0,1]$. We claim that $A$ is open in $[0,1]$. Let $t \in A$. Then $[0,t] \subset A$ since $T(x,s) \subset T(x,t)$ for $0 \le s \le t$. The line segment $L(x,y_t)$ has positive distance $d > 0$ from $C$. For suffienctly small $\epsilon > 0$ we see that for all $s \in (t - \epsilon, t + \epsilon)$ each point in $L(x,y_s)$ has distance $< d/2$ from $L(x,y_t)$. Hence $L(x,y_s)$ has positive distance from $C$ for $s \in (t - \epsilon, t + \epsilon)$ which implies that $L(x, y_s) \subset \Omega$ for $s \in (t - \epsilon, t + \epsilon)$. We conclude that $T(x,t') = \bigcup_{s \in [0,t']} L(x,y_s) \subset \Omega$ for $t' \in [0,1] \cap (t - \epsilon,t + \epsilon)$.
By definition $[0,\tau) \subset A \subset [0,\tau]$. We claim that $\tau \notin A$, i.e. $A = [0,\tau)$. If $\tau = 1$ this is clear since $1 \notin A$ and follows from the fact that $A$ is open if $\tau < 1$.
This means that $\tau$ has the property $T'(x,\tau) = T(x,\tau) \setminus L(x,y_\tau) \subset \Omega$ and $C_\tau = L(x,y_\tau) \cap C \ne \emptyset$. Therefore $C_\tau \subset \overline \Omega$, but $C_\tau \cap \Omega = \emptyset$. Now define
$$\sigma = \inf\{ s \in [0,1] \mid L(x,y_\tau;s) \in C_\tau\} .$$
Clearly $0 < \sigma < 1$ and $\xi = L(x,y_\tau;\sigma)$ is the point on $L(x,y_\tau) \cap C \subset \overline \Omega$ which has the smallest distance to $x$. Let $U$ be an open neigborhood of $\xi$ such that $U' = U \cap \Omega$ is convex. There exists $\sigma' \in (0,\sigma)$ such that $\xi' = L(x,y_\tau;\sigma') \in U'$. We find $r > 0$ such that $B_r(\xi') \subset U'$. The set $B_r(\xi')$ contains a point $\xi'' \in E \setminus T(x,\tau)$. We have $\xi'' \in U'$. The ray which starts at $\xi''$ and goes through $\xi$ contains a point $\eta \in T'(x,\tau) \cap U'$. Since $U'$ is convex, we get $\xi \in L(\xi'',\eta) \subset U' \subset \Omega$, a contradiction since $\xi \in C_r \subset C = \mathbb R^n \setminus \Omega$.
Corollary: Each regular $\Omega \subset \mathbb R^n$ is convex.
Proof: Let $x,y \in \Omega$. Let $P(x_1,\ldots, x_n) \subset \Omega$ be a polygonal chain from $x$ to $y$ with $n$ minimal. Assume $n > 2$. Then Lemma 2 gives us a polygonal chain in $\Omega$ from $x$ to $y$ with $n-1$ vertices, a contradiction. Thus $n =2$, i.e. $L(x,y) \subset \Omega$.