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Gastric volvulus in childhood.
T P Karande1, S N Oak, S J Karmarkar
1Department of Paediatric Surgery, L.T.M.G. Hospital & Medical College, Sion, Mumbai.
Journal of Postgraduate Medicine
|April 1, 1997
Summary
Gastric volvulus is rare in children, often caused by underlying issues. This series highlights three pediatric cases linked to ligamentous laxity, diaphragmatic defects, and hiatal hernias.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Anatomy
Background:
- Gastric volvulus is a rare condition, particularly in pediatric patients.
- Causes can be idiopathic or secondary to congenital or acquired abnormalities.
Observation:
- This series presents three pediatric cases of gastric volvulus.
- Case 1: Volvulus secondary to ligamentous laxity and mobile spleen.
- Case 2: Volvulus associated with a congenital posterolateral diaphragmatic defect.
- Case 3: Volvulus related to a hiatal hernia.
Findings:
- The study identifies diverse underlying etiologies for gastric volvulus in children.
- Specific causes identified include ligamentous laxity, diaphragmatic defects, and hiatal hernias.
- This underscores the importance of investigating anatomical abnormalities in pediatric gastric volvulus.
Implications:
- Early diagnosis and management of pediatric gastric volvulus are crucial.
- Understanding the varied causes can guide surgical and medical interventions.
- Further research into the specific mechanisms and long-term outcomes is warranted.